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E Pennsylvania State University Please duplicate this form for additional enrollments. Summer 2012 Address (number and street or box no.) City State ( ) Phone # Zip Code / / Birth Date Age at Time of Camp Name of Parent or Guardian * The Social Security number (SSN) you provide for enrollment purposes, or when requesting specific services, will be used by the University to verify your identity for official record keeping and reporting. If you chose not to supply your SSN, certa.

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