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2024 CAMPER REGISTRATION FORM
First Name
*
Last Name
*
Middle Initial
*
Date of Birth
*
YYYY
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
Gender
*
Male
Female
Address
*
Name of School
*
Parent/Guardian’s Contact Information: 1
Name
*
Relation
*
Address
*
Organization/Workplace
*
Email
*
Mobile
*
Home
Work
Parent/Guardian’s Contact Information: 2
Name
*
Relation
*
Mobile
*
Home
Work
Medical Information:
Doctor's Name
*
Organization/Workplace
Allergies
Mobile
*
Work
Optional Activities - Sports:
*
Choose one option from the following:
Football,Baseketball,Swimming,Tennis,Dance,Karate,Arts & Craft,Gymnastics,Drumming
Period of Registration
*
Week 1: July 1 to 4
Week 2: July 8 to 11
Week 3: July 15 to 18
Week 4: July 22 to 25
Payment Plans:
*
Select...
Per Week - $ 18,500 JMD
Month - $ 65,000 JMD
I hereby certify that the above information is true to the best of my knowledge. **
REGISTER
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