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Vickery Summer Camp Registration

All fields marked with (*) are required.
Parent/Guardian Information
Parent Name Required!
Parent Name Required!
Email Required!
Phone Required!
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Address Required!
Address Required!
City Required!
ZIP Required!
How Many Campers Do You Have?
You MUST select the number of campers to register!
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Camper 1 Information
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You Must Select at Least One Camp!
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Camper 2 Information
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You Must Select at Least One Camp!
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Camper 3 Information
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You Must Select at Least One Camp!
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Camper 4 Information
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You Must Select at Least One Camp!
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You Must Enter at Least One Emergency Contact Name!
You Must Enter at Least One Emergency Contact Phone!
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You Must Enter at Least One Person Permitted to Pick Up!
You must pay a $25 deposit per camper per camp week in order to reserve your spot(s). If you are an existing Dojo member, we can use the account we already have on file for you, just check the box below. If you're not already a member or wish to use a different payment method, after submitting this form you will receive email instructions on how to pay your deposit in order to finalize your registration and reserve your spot(s).
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You must check this box!
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