Camp Date
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Binghamton Aug 4-8 2025
East Aurora Aug 11-15 2025
Parent/Guardian First Name
Parent/Guardian Last Name
Relationship to Camper
Email
Mobile Phone
Work Phone
2nd Parent/Guardian Name & Number
Camper Full Name
Camper Gender
Camper Birthdate
School Grade
Street
City
State
Zip Code
Allergies/Health Issues
Emergency Contact Name & Number
Discount Code
Additional Information
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