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2021 Power5 ID Camp Registration
 



Guardian Information 
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Parent/Guardian First Name:
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Parent/Guardian Last Name:
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Street Address:
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City:
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State/Province/District:
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Postal Code:
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Contact Phone Number:
*
Email:

Camper Information
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Camper Name
*
Camper's Grade Completed
*
Sports Interested in Participating
     (you can select more than one)




Notes:

Select Payment Camp Dates
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Camp Dates: