registration

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registration

health information

* Indicates required field

Camper's Birthdate (Month / Day / Year) *

Any Other Health Concerns *

Allergies or Any Food Restrictions *

By providing my electronic signature, I attest that the above information is an accurate representation of facts. I am knowingly and voluntarily sharing this private health information with the volunteers of Rakad Dance Camp and approve of them knowing this information. *

Home
About
Summer Camp
- Information Center
Volunteer
Support