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SWUUC Summer Camp Registration
Camper Personal Information
Full Name of Camper *
Preferred Name
Gender *
Date of Birth *
mm/dd/yyyy
Grade entering in fall of 2009 school year *
Name and location of congregation *
SESSION *
Primary
Junior
Senior
Parent/Guardian name *
Parent's email address
Payment *
I will pay later
I will pay the $150 deposit by PayPal
I will pay the full amount of $450 by PayPal
Amount
* = Input is required
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