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Camp Bravo 2017 Registration Form

DISNEY'S JUNGLE BOOK CAMP JUNE 19TH - 23RD

Please Complete The Following Information for Each 2017 Camp Bravo Participating Student.

Name *
Name
Address *
Address
Parents Name *
Parents Name
Home Phone
Home Phone
Mother's Daytime Phone
Mother's Daytime Phone
Father's Daytime PhonePli
Father's Daytime PhonePli
Emergency Contact
Emergency Contact
Emergency Contact Address
Emergency Contact Address
Emergency Contact Daytime Phone
Emergency Contact Daytime Phone
Emergency Contact #2
Emergency Contact #2
Emergency Contact #2 Address
Emergency Contact #2 Address
Emergency Contact Daytime Phone
Emergency Contact Daytime Phone
Digital Signature *

AUDITION FORM

CAMP BRAVO : JUNGLE BOOK

Name *
Name
Address
Address
PARENT NAME
PARENT NAME
PARENT CELL
PARENT CELL
Student Pledge
By checking the box below you are electronically signing that you agree to the student pledge.