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Forest and Range Camp Sign-Up

Fill in this form to sign up you child for our upcoming Forest and Range Day Camp. Please fill in one form per child if you have siblings attending camp.

Return this form electronically (or fill out and print the form) and return it with the $50.00/student fee to Jackson SWCD, 573 Parson's Drive, Medford OR 97504.

Camp may fill earlier, but registration closes June 11, 2010. Campers must be entering the 5th—7th grade.

 
* Camper (Child's Name) 
* Address 
* School 
* Age 
* City and State 
* Zipcode 
* Name of Guardian 
* Phone number of Guardian 
* Email of Guardian 
* Additional camper information: please include any allergies and special needs here. 
 
 


 


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