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Hermiston Stake Youth
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Camp Registration
Camper First Name
Camper Last Name
Phone
Email
Street Address
City
State
Birthdate
Emergency Contact
Emergency Contact Phone Number
Are you a Youth or Adult?
Youth
Adult
Ward:
Boardman
Columbia River
Desert View
Fossil
Meadows
Sandstone
Umatilla River
Willow Creek
Guest
I am currently in the following grade:
*
5th
6th
7th
8th
9th
YCL
Adult
T-Shirt Size:
*
X-Small
Small
Medium
Large
X-Large
2X
3X
Do you require a special diet? If yes, please explain...
Do you have any allergies? If yes, please explain...
Will you be bringing a friend or family member who is not a member of our Stake? Please include name, age & the grade they are currently in below...
Please provide any additional information you think we should know prior to camp:
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