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Bluey "Dance Mode" Camp is a high-energy, imagination-filled dance adventure inspired by everyone's favorite blue pup! Campers ages 4–7 will groove, move, and laugh their way through playful dance games, creative crafts, snacks, and silly challenges—all set to the fun and heartwarming spirit of Bluey. Get ready to press Dance Mode and boogie! ** Students must bring a packed lunch **

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Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)

Students entered below will be added to your family's account

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:

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