| Document Date: 2013-08-30 23:11:13
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Facility Stable Location / Camp Operator / Camp Owner / / MusicGroup Yes / / NaturalFeature Bathing Beach / / Organization American Red Cross / Division of Community Sanitation / Department of Public Health / National Rifle Association / / Position Health Supervisor / Health Care Consultant / physician assistant / local building inspector / Aquatics Director / physician / nurse / Applicant /
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APPLICATION FOR A LICENSE TO CONDUCT A RECREATIONAL CAMP FOR CHILDREN Name of Camp: ____________________________________________________________ Site Address: _____________________________________________________________