Rock Lake United Church Camp
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Select Camp Name:
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Parent First Name:
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Parent Last Name:
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Camper First Name:
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Camper Last Name:
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Child’s Name
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Adult’s Name
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Preliminary Medical Form
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Family Health Card Number(s):
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Any physical or mental challenges?:
* Full payment by credit cards only. Cheques can only be accepted for mail-in registrations.
Click here for the printable mail-in registration form
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