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Get Rev Can 2012 - Eastern 4-h Center

Camp Canvasback 12-17 $460 7/15/2012 7/20/2012 CAMPER NAME: COUNTY: BIRTHDAY: AGE WHILE AT CAMP: CAMPER S GENDER: PARENT/GUARDIAN HOME PHONE: PARENT/GUARDIAN WORK PHONE: PARENT/GUARDIAN CELL PHONE PARENT/GUARDIAN EMAIL: PARENT/GUARDIAN FAX: HAS CAMPER ATTENDED CANVASBACK BEFORE? DOES CAMPER HAVE HUNTER EDUCATION CARD? NUMBER? All forms must be completed and received by the Eastern 4-H Center before the week of camp: 4-H Enrollment Form NC Department of 4-H Youth Development.

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