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Registration Form
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Please print out this Camp-Living Waters
Registration Form, fill it out completely and mail it with the appropriate
payment made payable to J. W. Ronald to:
James Ronald |
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| Name: | __________________________________________________________ |
| Age: | _______________ |
| Phone Number: | _______________ |
| Address: |
__________________________________________________________ __________________________________________________________ __________________________________________________________ |
| Hospitalization Number: | ______________________________ |
| Family Doctor: | __________________________________________________________ |
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To whom it may concern: I give permission to the camper(s) to attend the summer camp, August 16-20, 2010. Camp-Living Waters/J. W. Ronald are not responsible for any loss or injury at the camp. I am responsible for acquainting the camper with the camp expectations and regulations. Signature of
Parent/Guardian: _____________________________________________ |
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