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Tokeneke Beach Camp & Adventure Club 2016
Last Name
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Cell Phone
*
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Email
*
Camper 1
Camper's Name
Date of Birth
MM
/
DD
/
YYYY
Grade Entering Fall 2016
Please select
Pre-School
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Swim Level
Swimmer
Near Swimmer
Non-Swimmer
Please select the weeks your child will be attending. New this season camp will run Monday - Friday.
Week One: 6/27 - 7/1
Week Four: 7/18 - 7/22
Week Two: 7/5 - 7/8
Week Five: 7/25 - 7/29
Week Three: 7/11 - 7/15
Week Six: 8/1 - 8/5
Health Conditions and Special Requests
Camper 2
Camper's Name
Date of Birth
MM
/
DD
/
YYYY
Grade Entering Fall 2016
Please select
Pre-School
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Swim Level
Swimmer
Near Swimmer
Non-Swimmer
Please select the weeks your child will be attending. New this season camp will run Monday - Friday.
Week One: 6/27 - 7/1
Week Four: 7/18 - 7/22
Week Two: 7/5 - 7/8
Week Five: 7/25 - 7/29
Week Three: 7/11 - 7/15
Week Six: 8/1 - 8/5
Health Conditions and Special Requests
Camper 3
Camper's Name
Date of Birth
MM
/
DD
/
YYYY
Grade Entering Fall 2016
Please select
Pre-School
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Swim Level
Swimmer
Near Swimmer
Non-Swimmer
Please select the weeks your child will be attending. New this season camp will run Monday - Friday.
Week One: 6/27 - 7/1
Week Four: 7/18 - 7/22
Week Two: 7/5 - 7/8
Week Five: 7/25 - 7/29
Week Three: 7/11 - 7/15
Week Six: 8/1 - 8/5
Health Conditions and Special Requests
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