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Campers Name *
Attending Camp with what Church *
Address, City, State, Zip Code *
Home Phone *
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Fathers Name *
Mothers Name *
Week(s) of Camp Attending (check all that apply) *	CIT Training (10-12) - Free Servants Camp (9-12) - Free Sr. High (9-12) - $125 Jr. High (7-8) - $125 Junior (5-6) - $100 Middler (3-4) - $65 First Chance (1-2) - $35

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