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Summer Camp Reservation Form
Camper’s Name:
Parents Name:
Address, City, State:
Telephone number:
Emergency Contact and Telephone Number:
Doctor’s Name and Telephone Number:
Dentist’s Name and Telephone Number:
Allergies:
Date/s you would like to attend Surf and Turf Summer Day Camp:
Please mail form to Elrita Annett, 10116 Shawnee Road, Greenwood, DE 19950
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