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Name *
Gender *
Date of Birth *
Referee No.1
Name *
Referee No.2
Not a relative or family member
Name *

Thanks so much for you time in filling this out. 

It is super helpful for us to know these things about you and to make sure we have the best fit for our youth that attend as campers.

If you are 18 or over, you will need to fill out our Police Check form.