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Camper Application

 

 

Camper's First Name___________________Last Name___________

 

Parent's Name________________________________________________

 

Email:________________________Cell______________________

 

Address:_______________________________________________

 

Age of camper(s)_______________Session Attending:__________

 

Does your child have any special needs we should be aware of?Please explain in the space below:

 

 

 

 

 

 

 

 

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Please fill out the form above and mail back to Joanne Goldstein: 444 Fowler rd. Alpharetta, Ga 30004.

If you have any questions please call Joanne at (678)-428-8098

scooterbear123@outlook.com

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