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Tribe Summer Camp Registration

First name*

Last name*

Phone*

Address*

Email*

Place of work and work number*

Child's name #1*

Child #1 birthday*

Child's name #2

Child #2 birthday

Child's name #3

Child's birthday #3

Child's name #4

Child's birthday#4

Emergency Contact name *

Emergency Contact Relationship to Child(ren)*

Emergency contact phone number *

Name(s) and number(s) of people allowed to pick up your camper *

Any Allergies? Cultural food preferences?*

Please list any other information that you'd like for us to know about your camper

Registration Fee

$35

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