Camp IMPACT Registration Form | Impact Center

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Camp IMPACT Registration Form

To register, please take the time to fill out the information below.

Child Information

Child's name

Child's birthday

Child's address

Name of child's school

Grade Entering

Which session will your child be attending?

Session 1: June 17 - July 18 | Registration for session 1 begins April 1st

Session 1: July 22 - August 22 | Registration for session 2 begins June 16th

Please list and describe below any special medical conditions, including food allergies, your child may have that IMPACT Center staff or volunteers need to be aware of.

If no other transportation to this program is possible for your child, please reach out to us at the IMPACT Center, and we will try to assist.

66 E. Second Street

Winona, MN 55987

(507) 474-9323

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Email your comments or questions to: info@impactyouthcenter.com

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