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A.R.C. Natural History Day Camp |
Jr. Session June 21 - 25 Regular Session June 21 - July 2 |
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Name of Camper ______________________________________________ Today's Date ________________ Address ____________________________________ City __________________ State _____ Zip _________ Birth ________________ Age (camp time) _____ Entering Grade ____ At ______________________ School Parent or Guardian _________________________________________________________________________ Phone (home) ________________________ Work/Cell ____________________________________________ E-mail ____________________________________________________________________________________ |
Please include a $20.00 registration fee. Make checks payable to ARC Natural History Day Camp |
Return this form to: ARC Natural History Day Camp 8594 Faber Rd Faber VA 22938 |