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Get DRAFT Sp-894.ofm - State Nj

MI SEX AGE DATE OF BIRTH / ADDRESS Street City COUNTY State HOME TELEPHONE NUMBER ( ) / Zip Code ALTERNATE TELEPHONE NUMBER ( - ) - Have you applied to any other youth camps for this summer? T-Shirt Size: Yes No If Yes, how many? S M L XL XXL Other To be completed by Nominee's High School Guidance Counselor: NAME OF HIGH SCHOOL TELEPHONE NUMBER ( ADDRESS Street ) City State Zip Code I hereby certify that the Nominee named above is of good reputation and sound.

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