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March 2010
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Student Application

This is the Camp Compass Release form. Please fill out the form, Sign it in the appropriate places and print the form. If you can Scan the form to a PDF after signing, attach it to the application submission. if not, mail it to: Camp Compass Academy 1221 Sumner Ave (rear) Allentown, PA 18104

Guardian Name (required):

Guardian Phone:

Guardian Email (required):

Student First Name (required):

Student Last Name (required):

Student Phone (required):

Student Age (required):

Student Email (required):

Student Address (required):

Student City ( required):

Student State (required):

Student Zip Code (required):

Subject:

Why I want to be part of Camp Compass:

Code: captcha

Type Code:

Attachment:

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