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* |
MM
* DD
*YY
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*
Ft |
*
In |
*
lbs |
| Emergency Contact Information |
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| Allergies |
Yes |
No |
If yes, please detail allergies in
'Extra Detail Information' below |
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| Resident |
Yes |
No |
If attending an Oshawa Summer Camp,
please indicate if you will be a resident
(lodger) at the camp, otherwise check 'N' |
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