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Get Russeell W Hogrefe Fresh Start And Application Form

Ormation: First Name Last Name First Name Last Name Address City Home Phone Age Grade in Fall Work Phone Parent(s) Information: State Zip Name of Camp if known or preferred: 1. Funds Needed: Campership Cost $ x Per Night or Per Day Cost (If known) # Nights or # Days Other Expenses (If any): $ Total cost of camp session $ Purpose Amount $ Purpose Amount Total Amount Needed for Camp Session ................................................................... $ Total Amount.

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