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Girls Summer Camp
June 23 @ 8:00 am
-
June 25 @ 3:00 pm
Free
Registration Form:
Personal Information
Parent/Guardian’s Last Name
*
Parent/Guardian’s First Name
*
Parent/Guardian’s Last Name 2
Parent/Guardian’s First Name 2
Address
*
City
*
State
*
Zip
*
Home Phone
*
Work Phone
*
Cell Phone
*
Parent/Guardian’s Email Address
*
Girl’s Last Name
*
Girl’s First Name
*
Girls Age
*
Shirt Size
*
Grade (going to)
*
DOB
*
Emergency Contacts
Contact Name
*
Relationship To Girl
*
Work Phone
*
Cell Phone
*
Contact Name
*
Relationship To Girl
*
Work Phone
*
Cell Phone
*
Parent / Guardian Permission
I give full permission for my daughter/girl in my care to attend and participate in the Youth Leadership Conference activities. I agree to drop my daughter off on time and pick her up promptly at the end of each day.
*
Yes
No
I give full permission for Susanna Haynes Enterprises, INC to use any photographs, films, and/or sound recordings in which my girl appears for publicity purposes, now, and anytime in the future.
*
Yes
No
Signature
*
Special Instructions / Authorization To Pick Up
Authorization To Pick Up My Daughter
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Details
Start:
June 23 @ 8:00 am
End:
June 25 @ 3:00 pm
Cost:
Free
Event Category:
Girls Summer Camp
Website:
https://susannahaynes.org
Venue
Girls Summer Camp
Southeastern Technical College
Vidalia
,
GA
United States
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Phone:
912 293-6044
Website:
https://susannahaynes.org
Organizer
Susanna Haynes Enterprises
Phone:
912 293-6044
Email:
she@susannahaynes.org
Website:
https://susannahaynes.org
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