YMCA Camp Carter 2014 Camper Application

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SECTION #1 - Camper Information (Additional campers can be added below)

'Camper' Information

  1. Grade completed as of May 2014

    'Parent 1' Information Copy contact information from 'Camper'

  1. 'Parent 2' Information Copy contact information from 'Camper'

  2. 'Emergency Contact 1' Information

  3. 'Emergency Contact 2' Information

PLEASE NOTE: YOUR REGISTRATION IS NOT COMPLETE UNTIL YOU SUBMIT THE NECESSARY DEPOSIT(S), VIA CREDIT CARD, ON THE FOLLOWING SCREEN. IF PAYMENT IS NOT RECEIVED WITHIN 24 HOURS OF APPLICATION, YOUR REGISTRATION WILL BE DELETED, AND YOUR CAMPER WILL BE REMOVED FROM THE SESSION(S).

By clicking the submit button, you are certifying that you have read and agree to the TERMS OF SERVICE and that the above information is accurate to the best of your knowledge.

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