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Get Camp Kesem Wellesley Form

Of Birth: T-Shirt Size : Adult Small Age as of first day of Camp this year: Sex: Height: feet and inches Youth Small Youth Medium Adult Medium MALE Weight: Adult Large Youth Large Adult XLarge FEMALE pounds Current Address: City: State: Zip: Email: Parent / Guardian Information Parent / Guardian Name: Relationship to Child: Address: City: State: Home Phone: ( ) Work Phone: ( Mobile Phone: ( ) Zip: ) Email: Native Language: Parent / Guardian Name:.

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