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Summer Camps 2019 Online Registration and Payment
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(mm/dd/yyyy)
Contact Information
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First Name
Last Name
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First Name
Last Name
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Address Line 1
Address Line 2
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First Name
Last Name
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Type NONE if your child has no known allergies.
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Payment Information
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Please print your name and sign this Acknowledgement of Policies, Consent and Release of Liability Form. Send to: Classroom in Bloom, PO Box 1264, Winthrop, WA 98862.