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Dream Team ZEAL Form
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Indicates required field
Name
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First
Last
[object Object]
Gender
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Male
Female
Have you attended Growth Track
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Yes
No
Does Northridge Have a Background Check on you
*
Yes
No
I Do Not Know
Check the applicable catagory:
Time frame to serve
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Monday-Thursday June 8-11 ($150)
Thursday-Sunday June 11-14 ($150)
Monday-Sunday June 8-14 ($300)
Do You have a child attending camp
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Yes
No
My Child's Name who is attending
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All Adults will receive a pair of flip flops for camp
Child who is attending Camp
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EDGE CAMP
STANDARD CAMP
I have a child in both EDGE & STANDARD CAMP
Do you have any Medical/Physical Conditions
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No
Yes
If yes please explain
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Select Shirt Size
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Small
Medium
Large
XL
XXL
XXXL
Email
*
Text Number
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