Parent Name(s) *
Address
City
State
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Zip
Phone
Email *
Child(ren) Information
Child 1
Gender
- None - Male Female
New or returning camper?
- None - New Camper Returning Camper
Age
- None - Ages 6-11 Ages 12-15
Child 2
Gender
- None - Male Female
New or returning camper?
- None - New Camper Returning Camper
Age
- None - Age 6-11 Age 12-15
Child 3
Gender
- None - Male Female
New or returning camper?
- None - New Camper Returning Camper
Age
- None - Age 6-11 Age 12-15
Child 4
Gender
- None - Male Female
New or returning camper?
- None - New Camper Returning Camper
Age
- None - Age 6-11 Age 12-15
Programs
Other
How did you learn about Camp Kanata?
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