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Registracion del Participante

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Hispanic Cultural Center

Location

At the Hispanic Cultural Center

315 Stampede Dr

Nampa, ID 83687

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Contact Jessica Carr:

208-283-4452

learningpeacenampa@gmail.com

Primero, cuéntenos sobre usted:

Información de los Padres

Peace camp will be June 22-25, 2026 from 9am to 3pm each day at the Hispanic Cultural Center in Nampa. It is for children ages 6-13* as of June 20, 2026! We are excited for your kids to join!

*We cannot accept children under the age of 6. If we discover your child is under the age of 6, they will be sent home.

Nombre

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Apellido

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Correo Electrónico

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Dirección 1

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Ciudad

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Estado/Provincia

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ZIP/Código Postal

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País

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Teléfono de Contacto 1

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Teléfono de Contacto 2

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Nombre del Contacto de Emergencia

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Relación del Contacto de Emergencia

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Teléfono del Contacto de Emergencia

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Nombre de recogida alternativo

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Teléfono de recogida alternativa

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Proveedor de seguro y número de póliza

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In participating in Learning Peace: A Camp for Kids, I hereby acknowledge that I understand there are risks of accidents, resulting in bodily harm to my child, arising out of those activities. I hereby acknowledge that my child has the physical capacity reasonably necessary to engage in camp activities. However, I do hereby waive all claims, which I might have against Learning Peace Inc., or any of the officers, agents, or employees by reason of bodily injuries that my child might suffer arising out of his/her participation. In case of emergency, accident or illness, I give my permission to have my child treated by a professional medical person, transported by medical staff and admitted to a hospital if necessary. I agree to be the party responsible for all medical expenses incurred on my child's behalf. I release Learning Peace, Inc., its contractors, employees, volunteers and helpers from liability for any claims by me or any third party in connection with my participation or the participation of the minor children listed in this application.

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¿Permiso para usar fotografías de su niño/a?

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¿Permiso para excursión de campo (a Idaho Public Television)?

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Cuéntanos sobre tu participante

Which session will they be attending?

Nombre

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Apellido

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Grado Entrando

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Género

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Fecha de nacimiento

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Talla de Camisa

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Alergias

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Preocupaciones Médicas

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Comentarios

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¿Puede su hijo asistir todos los días del campamento? (Si no puede asistir todos los días del campamento, su hijo será puesto en la lista de espera).

Multiple selections are allowed.

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Si no puede asistir todos los días, ¿qué días puede asistir su hijo?

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