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PIEDMONT ENVIRONMENTAL COUNCIL RAPPAHANNOCK LEAGUE FOR ENVIRONMENTAL PROTECTION
1990 NATURAL HISTORY DAY CAMP
For Children Ages 8-11. Register before May 25. For Information call 987-3155 after 5pm.
Name of Camper___Today's Date_
Address_
Date of Birth_Entering Grade_in September 1990
Parent s Name„_:____ Home phone,___Business phone_ Please include $20 registration fee. Checks should be payable to RIJEP and mailed to RLEP, Rt.l Box 425 Washington. VA. 22747 by May 25, 1990 The undersigned assume all risks associated with participation in the Rappahannock Natural History Day Camp by our child, and release Piedmont Environmental Council, Rappahannock League for Environmental Protection, the camp's staff, and the owners of Meadow Brook Farm and surrounding properties from all responsibility for accidents or personal injuries.
Name_Date_Name___Date_
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