Day Camp - Grades K-1
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Name
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Address
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Father
*
Mother
*
Parent Phone
*
Email
*
This address will receive a confirmation email
Gender
*
Please select one option.
Male
Femaie
Grade Entering
*
Please select one option.
K
1
2
Select Option
K
1
2
T-Shirt Size
*
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S
M
L
XL
XXL
Select Option
S
M
L
XL
XXL
Insurance Information
Health Insurance Company
*
Policy Holder
*
Policy/ID #
Group #
Health concerns, illnesses, or injuries to be aware of?
*
List any medication to be taken at camp.
*
Camper/Parent Agreement
I understand that Camp Sooner will not be responsible for any accident that might befall my child which is caused by his/her disobedience or negligence. We have read the camp information sheet and understand what my child is not to bring to camp. I agree that modesty will prevail in all matters and will send appropriate clothing for my child. We understand that any damage or vandalism to camp property by my child will be repaired at my expense. My child will not leave camp facilities without first getting approval from the camp dean. My child has permission to engage in swimming activities. I authorize treatment for my child while at camp by any doctor, nurse, or hospital as deemed necessary by camp authorities. This includes, but is not limited to giving common medicines. I certify that my child is in good physical condition and is able to participate in all camp activities.
*
Please select one option.
I agree
Payment
Payment
Total ($20)
Cash/Check ($0)
Total ($20)
Cash/Check ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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