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Participant Name:
Age (as of Dec. 31):
Parent E-mail:
Parent Phone Number:
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First three digits
Second three digits
Last four digits
Are you a Craigleith Member:
Yes
No
Member Number:
Please select the week(s) you would like to register for ($400+tax per week):
July 11 - 15
July 25 - 29
August 15 - 19
August 22 - 26