summer camp registration

Please enter the information for your child.
Cornelia will contact you after she receives it.

first name
last name
address 1
address 2
city
state zip
phone
email

1st week july 7-11
2nd week july 14-18
3rd week july 21-26
4th week july 28 - aug 1
5th week aug 4-8
medical release form and full payment
has been sent		will be sent by

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