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* 1. Participant's First Name

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* 2. Participant's Last Name

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* 3. Gender

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* 4. Grade (Completed by 6/1/13)

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* 5. Age (Must be 3 by the start of Adventure Week to Participate)

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* 6. Allergies

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* 7. Special Needs

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* 8. Do you need to register another child?

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