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Camp Elevate $75 Payment

Donation: $75.00
Item Number: YMCE_75


* denotes required field

First and last name of parent/ guardian?*
Youth first and last name?*
Parent/ Guardian email?*
Parent/ Guardian phone number?*
Youth date of birth and grade.YOUTH MUST BE IN GRADE 6-12 FOR 2017-2018 SCHOOL YEAR TO ATTEND THIS CAMP.*
Youth t-shirt size? XS, S, M, L, XL, XXL*
Does youth have any allergies or diet restrictions?*
What is youth gender?*
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