Camp Registration Form | Camden PSU Website

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First name

Last name

DOB

Address

CITY

State

Zip Code

Age

Short answer

What is the Academic needs of your child?

Math

Writing

Literacy/Reading

Special Education

Other

What recreation activities would your child be interested in?

Sports

Music

Theater

Dance

Other

PARENT/GUARDIAN & EMERGENCY CONTACT INFORMATION

Parents/Guardian Name and Relationship*

Parents/Guardian Contact Number*

Emergency Contact Name and Relationship*

Emergency Contact Number*

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Join the Camp Excellence Experience – Where Growth, Leadership, and Lifelong Memories Begin! Register Now!

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