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Kilgore College Rangerette Summer Dance Camps
High School Session 2
Camp Information
I Will Be A:
Commuter
Resident
Commuters stay off campus. Residents stay in the Dorm on campus.
Shirt Size
*
- Select a value -
Child Extra Small
Child Small
Child Medium
Child Large
Child Extra Large
Adult Extra Small
Adult Small
Adult Medium
Adult Large
Camper Information
First Name
*
Last Name
*
Date of Birth
*
Does the camper have any food allergies?
*
No
Yes
Food Allergies
* if applicable
Contact Information
Contact Name
*
(Camper, or Parent/Guardian of Camper)
Address 1
*
Address 2
City
*
State
*
- Select -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
--
Armed Forces (Americas)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
ZIP code
*
Primary Phone
*
Secondary Phone
Email Address
*
School Information
Grade (in the fall)
*
- Select a value -
7th
8th
9th
10th
11th
12th
College
Name of High School/College
Your Payment Will Be:
$325.00