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picture1_Camp Registration Form Id 23688 | Camper Application 2019


picture2_Camp Registration Form Id 23688 | Camper Application 2019 picture3_Camp Registration Form Id 23688 | Camper Application 2019

 118x       Filetype DOC       File size 0.06 MB       Source: arcofcva.org


File: Camp Registration Form Id 23688 | Camper Application 2019
The Arc of Central Virginia CAMP MEADOWLARK REGISTRATION FORM Instructions: 1. To be completed by a Parent, Legal Guardian or Care Provider. 2. This application is due by May 24 ...

icon picture DOC Filetype Word DOC | Posted on 30 Jul 2022 | 2 years ago
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...The arc of central virginia camp meadowlark registration form instructions to be completed by a parent legal guardian or care provider this application is due may transportation not guaranteed for received after return c o bedford avenue lynchburg va if you need assistance in completing have questions call connie signature required at bottom page and financial aid fees are per week full name camper sex male female weight pounds date birth address city state zip home phone work person emergency relationship s primary doctor on any medication yes purpose allergies seizures type frequency behavior problems please explain how should we deal with these eating dietary restrictions special health needs check that applies mild intellectual disabilities moderate severe profound developmental disability describe none above stop here your child does qualify handicapping conditions speech impaired visual hearing spina bifida attention deficit disorder fainting cerebral palsy other equipment manual...
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