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| Registration Information To register: Download our registration form, or fill out the form below, and send it to: Barry Wallin Summer Fun Golf Camp Registration Camper First Name ________________________________________ Last__________________________________________________ Parent name(s) ___________________________________________________ Circle one: M / F Current School Grade ________ Address _____________________________________________________________ City/State ___________________________________ ZIP_____________________ Birthdate _______/________/______ Phone____________________________ email_______________________________________________ T-shirt size (100% cotton, circle one): 10- 12 14-16 Adult S Adult M AL AXL 1st Choice: Week_________________ Time______________ Level_____________________ 2nd Choice: Week_________________ Time______________ Level____________________ Registering with a friend? Any significant health concerns?
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