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PANDAMONIUM DAY CAMP
2011 Registration Form
Return this form to: ST. JOHN'S YOUTH GROUP, 99 CHURCH
STREET, HAMBURG, PA 19526
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CAMPER'S NAME
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CAMPER'S ADDRESS
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AGE
GRADE COMPLETED
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PHONE #
T-SHIRT SIZE
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PARENT/GUARDIAN NAME
COST PER CAMPER IS $50.00
PAYMENT METHOD ___CHECK ___CASH
(PLEASE MAKE CHECKS PAYABLE TO "ST. JOHN'S EV. LUTHERAN CHURCH")
A PACKET WILL BE SENT TO YOU AT THE ABOVE ADDRESS.
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