YFN Summer Camp - Attendees
Please fill out all requested information for each student attending. Each registration requires a non-refundable $70 deposit to complete registration.
*
Student
First Name
*
Student
Last Name
*
Student
Birth Date
Student
Email
Student
Address
*
Student
City
Student
State/Province
Student
Zip/Postal Code
* Allergy
Hay Fever
Ivy Poisoning, Etc.
Insect Stings
Penicillian
Asthma
Other
None
Student
Mobile Phone
* Emergency Contact #1 Name
* Emergency Contact #1 Relationship
* Emergency Contact #1 Phone
* Emergency Contact #2 Name
* Emergency Contact #2 Relationship
* Emergency Contact #2 Phone
* Shirt Size
Select one
Adult - Small
Adult - Medium
Adult - Large
Adult - XLarge
Adult - 2X
Adult - 3x
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