Summer Photography Camp Registration

Photography by Lloydlee Heite Camper Registration

Campers Name __________________________________________________________

Campers Address _________________________________________________________

Parent/Guardian

Name _________________________________________________________________

Address_________________________________________________________________

Best phone number between 9am and 3pm___________________________________

Other phone numbers _______________________________________

________________________________________

Emergency Contact ______________________________________________________

Emergency Contact Phone number ___________________________________________

Please list any food allergies

________________________________________________________________________

________________________________________________________________________

Please explain any medical conditions

 

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Photography By Lloydlee Heite

10277 Sunnyside Road

Bridgeville, De 19933

(302) 682 7000

E-mail

oydlee@dol.net">E-mail