2017 Girls LEAD Local Camp Registration

2017 Girls LEAD Local Camp Registration

Camper Information

First
Last
(Month/Day/Year)

Camper’s Home Address

Street
Apartment, Suite, Unit
*Please note there will be no camp on Monday August 7th due to holidays, Brescia will be closed on this day.

Camp Selection and Extended Care

Parent/Guardian Information and Emergency Contact Information

First
Last
First
Last
First
Last

Disclaimer

Payment Information

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