I know I Can Summer Camp 2021

First Name

Last Name

Gender

Age

School

Grade attended year 2021

Home Address

City

State

Zip

Country

Telephone

Cell

Parent Email

Mother's Name

Mother's Day Number

Mother's Cell

Father's Name

Father's Day Number

Father's Cell

Specify any of your child's health problems/allergies (including food allergies)

Each participants temperature will be taken upon arriving. Failure to pass temperature test will result in being sent home. Masks are required. Social distancing will be in place. By returning this completed electronic form I agree to all terms and conditions.

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I know I Can Summer Camp 2021

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