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Camper Last Name *

Parent/Guardian Last Name *

Parent/Guardian Home Phone *

Camper First Name *

Parent/Guardian First Name *

Parent/Guardian Cell Phone *

Camper Birthdate (YYYY/MM/DD) *

Parent/Guardian Email *

Home Address *

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Session 1 July (June 30 - July 28) Session 2 August (July 28 - Aug 11) Session 1 A (June 30 - July 14) Session 1 B (July 14 - 28) 6 weeks (June 30 - Aug 11) LIT + School Credit/CIT (June 30- July 28)

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