Winter ID Camp Registration
Contact
Phone:
864-561-0080
Email:
shalkett@uscupstate.edu
Main Position
Campers Information

Campers First Name

Campers Last Name

Campers Email Address

Campers Cell Phone

Street Address

City

State

Zip Code

Birth Date

Graduation Year

Club Team

School Name

Parents Information

Parent First Name

Parents Last Name

Parents Cell

Other Phone

Email Address

Parent First Name

Parents Last Name

Parents Cell

Other Phone

Email Address

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I would like to share a room with the following camper/s: