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Lindell Study Center
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About
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Young Girls
High School
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2020 Summer Blast Registration Form
A separate Registration Form and Medical Release Form must be completed for each camper. Information for up to 2 campers per family may be provided on one Registration Form.
*
Indicates required field
Camper Name
*
First
Last
School now attending
*
Grade Entering 2020-2021 (select one)
*
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
T-Shirt Size (please pick one)
*
S
M
L
XL
Shoe Size (for craft purposes)
*
Camper 2 Name (if applicable)
*
First
Last
School now attending
*
Grade Entering 2020-2021 (select one)
*
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
T-Shirt Size (please pick one)
*
S
M
L
XL
Shoe Size (for craft purposes)
*
Camper(s) Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Mother's Name
*
First
Last
Father's Name
*
First
Last
Email address
*
Please provide an active mail address for one parent
How did you find out about this activity?
*
We give Lindell Study Center permission to use camp photos of our children in publicity materials such as our brochure and website.
*
YES
NO
select one
PARENT/GUARDIAN STATEMENT
*
I verify that I am the parent/guardian of the above-named camper(s).
Checking this box will constitute your electronic signature.
Comment
*
CLICK HERE to Complete Medical Release Form
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