Financially Free LLC                 
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Camp Registration Information





Can't join us for any of the camps below? Sign up to be notified as we add camps to our schedule.


Direct Registration - These camps require registration directly at the camp location. Click Here for registration information or call us at 610.751.6496.
       
       
 
Online Registration - These camps require registration online by filling out the form below.
 

Applicant Information (required *)
First Name: * Middle: Last Name: *
Goes By: Male   Female
Age As Of 6/19/09: * Grade Comp. By 06/09:

Date Of Birth:

Street: * City: *

State: *

 Zip: *
Home Phone: * Fax:

 

 
Primary Email:* Secondary Email:

 

 

Parent Information
Father's Name: Home Tel:

Work:

       

Cell:

Mother's Name: Home Tel:

Work:

       

Cell:


Emergency Contact (Provide the name of someone not listed above; parents/guardians listed above will be called first.)

Name: Relationship:

 

 
Home Tel: Work:

Cell:


Consent is hereby given to Financially Free and trainers to seek medical aid in case of emergency.

Special Dietary Needs:


School Currently Attending:


Please indicate any emotional, behavioral or logistical issues that may affect the camp experience or any other information that will help us to help them have a great time at camp:?


Please Send Confirmation Packet (Please check one) Mail   Email

How did you hear about us?

Are you human? *
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