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Registration
Nameyour full name
Age
Home Phone
Emergency Number
Healthcare Number
Any Allergies or MedicationIf yes, please specify
PARENT/GUARDIAN:
I give permission that my son or daughter may attend Chubb Lake Teen Camp August 7-13 2016
Consent
STUDENT:
History Maker 2015 Reg
Chubb Lake Registration

I WILL RESPECT THE RULES AND REGULATIONS OF OUR ACCOMMODATIONS AND TRANSPORT,AND I WILL ATTEND ALL SESSIONS AND SERVICES AT CHUBB LAKE TEEN CAMP

Agreement
Payment
ItemsQtyTotal
Chubb Lake Teen Camp1370
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