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1-888-Life-EMS (543-3367)   
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Camp 911
  1. Campers Name(*)
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  2. Camper's Age(*)
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  3. Camp Dates (*)
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  4. Indicate any health concerns or food issues. We do our best to accommodate requests, however should your child need one to one attention, we require you provide it. If your child eats a special diet, we ask you to pack a lunch.
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  5. Parent/Guardian Name(*)
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  6. E-mail(*)
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  7. Phone (*)
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  8. Address(*)
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  9. City(*)
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  10. State(*)
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  11. Zip Code(*)
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