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For Campers Form

For Campers Form

Parents and/or Caregivers of future campers:

Please fill out the short form below to be notified of when camp registration is available – Camp High Hopes is expected to start its first camp sessions sometime in 2012.

Parent/Guardian’s Name (required)

Parent/Guardian’s Phone Number (required)

Parent/Guardian's Email (required)

Parent/Guardian’s Mailing Address (required)

Camper’s Name (required)

Camper’s Birthday (required)

Camper’s Primary Diagnosis

Camper’s Secondary Diagnosis (if applicable)

My camper is interested in attending (check all that apply):
 Daycamps Weekend Week-long

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