2019 GHLC - Camp Wegesegum Registration
Camper Name
*
First Name
Last Name
Camper Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Camper Phone Number
*
-
Area Code
Phone Number
Camper Birthdate
*
-
Month
-
Day
Year
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Parent/Guardian Name(s)
*
Parent E-mail
*
Parent/Guardian Phone Number
*
Emergency Contact Name
*
Not the camper's parents, please
Emergency Contact Phone
*
Not the camper's parents, please
Choice of Cabinmate Request?
Any medical information we should know?
Any dietary concerns or restrictions?
Any special instructions for our staff?
Please type your name to indicate that you would agree to GHLC's terms and conditions for registration.
I agree to GHLC's Terms and Conditions of Enrollment
*
Yes, I agree
I'm registering my child for...
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Camp Wegesegum - July 14 - 19, 2019
$
295.00
CAD
Enter coupon
Apply
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
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