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2011 Media Camp

About the Camp   |   Camp Schedule   |   Application


Registration Deadline: October 14, 2011
Camp Date: October 20 - 23, 2011
Camp Site: Phillippo Scout Reservation, Cannon Falls, MN

Download Camp Flier (PDF)
Download Camp Application Package (PDF)

Important: You must have a signed Permission Form and a Health Information Form by you, or by your parents or guardians if you are under 18 years of age at the time of attending the camp. You can send it in ahead of time with your registration or bring it with you on the first day of the camp.
     



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 Last Name: 
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Name of Parent or Legal Guardian:
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Evening Phone:

Emergency Contact Person:
Emergency Contact Number:

Dietary Needs:
 

School:

School Address:

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Grade Level:
 Ethnic Background: (Optional)

Reference (Teacher/Counselor):
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