PAY ONLINE NOW - La Crosse Area Camp Fee & Registration

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$25.00

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Performer Name * Maximum of 100 characters

Emergency Contact Name * Maximum of 100 characters

Emergency Contact Phone Number * Maximum of 20 characters

Emergency Contact Email * Maximum of 50 characters

Performer School Maximum of 50 characters

Performer Age * Maximum of 12 characters

Performer Food Allergies Maximum of 50 characters

Anything else we should know? (Utilizes wheelchair, utilizes feeding tube, prefers a calm environment, etc.) Maximum of 500 characters

How did you hear about the camp? * Maximum of 50 characters

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