Green Oak Ranch 2023 Online Registration

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Name

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Check One

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Male Female

Parent Email

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This address will receive a confirmation email

Parent Phone

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Parent Cell Phone

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Address

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Birthdate

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Age

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Grade Completed By June 2019

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Home Church

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Registration Requirements:Please fully complete these forms and pay your $60 deposit to be placed on a cabin list. Forms are available at losaltosgrace.org/green-oak-ranch-2019

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Please select all that apply.

$65 Deposit Medical Treatment Consent & Liability Release & ADHD Forms Head Lice Agreement Confidential Form

T-Shirt Size - Please Select One

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Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult Extra Large

I understand that, to keep the cost of camp low and to provide safe transportation to camp, families will drop off and pick up campers. 1237 Green Oak Rd, Vista, 92081

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Payment

Deposit ($65.00) Complete Payment ($430.00) Full Payment ($490.00)

Amount

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Expiration Date/CVC

Name on Card

Card Billing Address

Description

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