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Kids Camp
Philadelphia, July 10th-12th, 2009
  
 
First Name Last Name
Address
City
State Zip
Phone Cell Phone
E-Mail
1st
Child Name		 Age Gender  
2nd
Child Name		 Age Gender  
3rd
Child Name		 Age Gender  
4th
Child Name		 Age Gender  
Special Requests:
Progam(s) to participate in (list number of children attending each event)
 

3 - 5
Years Old
6- 12
Years Old
July 10th # #
July 11th # #
July 12th # #
 
 

550 N St. Clair Street Suite 1007 Chicago, IL 60611 -- 580 California St Suite 1600 San Francisco, CA 94104 -- 445 Park Ave New York, NY 10022 -- CHICAGO (312) 644-7300 -- SAN FRANCISCO (415) 285-2300 -- NEW YORK (212) 244-0200 FAX (312) 379-0287 -- Email hotelcare@aol.com
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