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Student Information

Birthday
Gender

Allergies *

Please list any allergies here. Please write "none" if there are no allergies.

Medical conditions and medical needs *

Please list any medical conditions, prescribed medications, recent serious illnesses, injuries, hospitalizations in the past 12 months, and any other information caregivers should be aware of.

Are you a returning camper?

Preferred Camp Schedule *

This schedule will apply to all sessions selected. If you would like to have different schedules for different sessions, please submit two separate applications.

Week Selection

Please select as many week as you'd like.

Summer Camp Registration Form

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