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2026 Summer Safari Camp Registration Form
Parent First Name
*
Parent Last Name
*
Email
*
Phone
*
Camper First Name
*
Camper Last Name
*
Camper's Age (At Time of Camp)
*
Mermaid or Skipper
*
Camper Shirt Size
*
Emergency Contact
*
Emergency Phone Number
*
Allergies and/or Medical Conditions (Enter Yes and Explain or N/A)
*
Tell us about your camper. Any goals for camp or experiences on your little one's bucket list?
*
How did you hear about us?
Web Search
Social Media
Wilmington Mom
Friend or Relative
Other
Submit
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