Camp Interest Form | Northwestern Settlement House

Camp Erin/Camp Mariposa Interest Form

Youth Information

First Name

Last Name

Middle Initial

Preferred Nickname if any

Age

Date of Birth

Parent/Guardian Information

First Name

Last Name

First Name

Nick Name

Age

Date of Birth

Phone

Relation To Applicant

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Camp Mariposa

Camp Erin

Both Camp Erin and Camp Mariposa

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