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SJCC SUMMER CAMP 2015 CAMPER INFORMATION/MEDICAL FORM Camper’s Given Names (what he/she likes to be called): _____________________ Family Name:____________________ Camper’s Address: _____________________ Postal Code:
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Document Date: 2015-04-07 11:15:28


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Facility

camp office.** Name /

MedicalCondition

epilepsy / respiratory infection / anaphylactic allergies / allergies / allergic reaction / severe asthma / Group /

Position

counsellor / /

PublishedMedium

Guardian / /

SocialTag