Dream Day Enrollment

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Camper's Name*

First Last

Gender*

Pronouns*

Birthdate*

Grade*

(Grade entering in September)

Current School

Current Camp

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone*

T-Shirt Size

Does your Dream Day Camper have any special dietary or medical needs?

Parent 1 Name

First Last

Parent 1 Email

Parent 1 Cell Phone

Parent 2 Name

First Last

Parent 2 Email

Parent 2 Cell Phone