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Camp Omega Confirmation Retreat 2021 Registration Form
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Contact Information
Leader's Name
Group/ Church Name
Phone
Email Address
Total Number of Attendees:
Number of Adult Male Chaperones:
Number of Female Chaperones:
Number of Female Campers:
Number of Male Campers:
Are there any food allergies?
Payment Method
I will pay at the event
I will send a check
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