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Adventurer Name
*
First
Last
Adventurer's date of birth
*
What child Adventurer
What class is the Adventurer in?
*
Parent/Guardian Name
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Phone
*
I agree to the following camp charges. (Please select the correct option for child or adult)
*
Child – Full Weekend (2 nights) –
$14.00
Child – One Night Only –
$7.00
Adult – Full Weekend (2 nights) –
$26.00
Adult – One Night Only –
$13.00
Permission & Agreement
*
I agree and give my permission
I give the adventurer stated here permission to attend this camp pursuant to all the terms and regulations that apply.
Stripe Credit Card
*
Email
*
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