EmailMeForm
Camp Conquer Application 2023
Welcome to Camp Conquer, a grief program designed to let children be themselves while handling their emotions.
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Child's Name
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First
Last
Child's Date of Birth
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Child's T-Shirt Size
*
Please Select One
Child's Small
Child's Medium
Child's Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2XL
Adult 3XL
Child's Address
*
Does your Child have any allergies?
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Yes
No
If your child has any allergies, please elaborate!
Parent/Legal Guardian
*
First
Last
Guardian's Email
*
Guardian's Phone
*
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Second Emergency Contact
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First
Last
Second Emergency Contact's Phone Number
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What was the last grade your child completed?
Please Select One
Pre-k
Kindergarten
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Please Select Your Child's Gender
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Male
Female
Please Share With Us The Reason Your Child Is Attending Camp Conquer! Please be thorough as this helps us prepare activites for the camp.
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