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Please fill in this form to receive more information and be placed on our roster to receive an application for the following summer. If you are using a form unfriendly browser, or experience any difficulties in sending this form, please email the contents to angela@camphuckins.com .
| Name | |
| Mailing Address | |
| Street Address | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Country | |
| Home Phone | |
| FAX | |
| Child's Name |
What grade will your daughter have completed at the beginning of the camp season?
Any special questions or concerns?