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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
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