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Camp Phoenix Registration Form
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YWCA Hanover's Camp Phoenix 2023 Registration Form
Your registration is not complete and a spot not guaranteed until this registration form is turned in. CCIS and YWCA scholarships are accepted. Meals and snacks are included.
Parent/Legal Guardian 1 Info
Parent/Legal Guardian 1 Name
(Required)
Parent/Legal Guardian 1 Phone
(Required)
Parent/Legal Guardian 1 Email
(Required)
Parent/Legal Guardian 1 Address
(Required)
Street Address
Address Line 2
City
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Maryland
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Mississippi
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Montana
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent/Legal Guardian 2 Info
Parent/Legal Guardian 2 Name
Parent/Legal Guardian 2 Phone
Parent/Legal Guardian 2 Email
Parent/Legal Guardian 2 Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Camper #1
Camper #1's Name
(Required)
Camper #1's Birth Date
(Required)
MM slash DD slash YYYY
Camper #1's Grade in 2022
(Required)
Camper #1's T-Shirt Size
(Required)
Camper #1 is PT or FT
(Required)
Full Time (4-5 Days)
Part Time (Up to 3 Days)
Camper #2
Camper #2's Name
Camper #2's Birth Date
MM slash DD slash YYYY
Camper #2's Grade in 2022
Camper #2's T-Shirt Size
Camper #2 is PT or FT
Full Time (4-5 Days)
Part Time (Up to 3 Days)
Camper #3
Camper #3's Name
Camper #3's Birth Date
MM slash DD slash YYYY
Camper #3's Grade in 2022
Camper #3's T-Shirt Size
Camper #3 is PT or FT
Full Time (4-5 Days)
Part Time (Up to 3 Days)
Pertinent Information
Please list any weeks your camper(s) will not attend:
Allergies, Special Needs, or Dietary Requirements
Please list any allergies, special needs, or dietary requirements to help us ensure your children have the best experience possible. More details will be asked for in our enrollment paperwork which you will receive later.
By checking the boxes below, I agree that ….(please read, understand, and check each item)
(Required)
I have read and understand all portions of this registration form.
I understand weekly fees are to be paid in full the Friday prior to the week of service.
I understand that I will receive an enrollment packet that must be completed prior to 1st day.
Select All
By entering my name below, I agree that I have read and understand all portions of the Camp Phoenix registration form.
(Required)
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