Country | |
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Address | |
City | |
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State | |
Zip |
First Name | |
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Last Name | |
Relationship |
Phone | Ex: 303-555-5555 |
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How would you prefer to be contacted?
How did you hear about us? | |
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First Name | |
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Last Name | |
Relationship |
Phone | Ex: 303-555-5555 |
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First Name | |
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Middle Name | |
Last Name | |
Preferred Name |
Gender | |
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Date of Birth |
School |
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Grade | 2024-2025 School Year |
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Season Of Interest | |
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Describe Your Child | |
Your Child's Interests | |
Previous Experience at Camp |
What pronouns does your child/teen use?
If my child attends Akeela, we are interested in the following cabin placement (select all that apply):
In which Camp Akeela program(s) are you most interested?