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Camp Director
Sean Ricketts
Phone: 805-305-8697
Email: centralcoastrunners@gmail.com
My Account Information

NOTE: If you already have an account with us, please login at the login page.
Personal Details * Required information
Gender:   Male    Female *
Child's First Name:  *
Child's Last Name:  *
Date of Birth:  * (eg. 05/21/1970)
E-Mail Address:  *

Parents/Guardian' Names:

 *
Telephone Number:  *

Emergency Person Names:

 *
Telephone Number:  *

Street Address:

 *
Post Code:  *
City:  *
State/Province:  *
Country:  *
Has your child had any of the following (operations or serious injuries, chronic or recurring illness, allergy or dietary restrictions) If so, please explain:
Are there any behaviors/concerns that the staff should be aware of?
What camp or session are you signing up for and did anybody refer you?
What is your child's t-shirt and shorts size (youth or adult)?
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Password Confirmation:  *