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Hutchinson Camp Good News
®
1
General Info
2
Medical Info
3
Permissions
4
Insurance
* Denotes Required Field
Select Camp Week:
Select
July 10-14
July 17-21
Child's First Name:
Proper format "Firstname"
Child's Last Name:
Proper format "Lastname"
Gender:
Select
Boy
Girl
Address:
City:
State:
Select
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Proper format "12345"
Parent's Email:
Proper format "name@something.com"
Birthdate:
Enter a valid date nn/dd/yyyy
Grade this student was in 2022-2023 school year:
(Must have completed 3rd grade.)
Select
3
4
5
6
7
8
Did this student attend a Good News Club at school this year?
Select
Yes
No
If yes, what was the location of the club? (name of the school, building, or host/hostess)
Is this the first time the camper has attended Camp Good News?
Select
Yes
No
Do you have a coupon code?
Select
Yes
No
If yes, enter coupon code
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