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COVID-19 Response Form

If we do not receive a reply by July 1, 2020, we will automatically apply funds to the 2021 season.

First Name

Last Name

Campers Name:

Phone Number:

Email Address

Please select from the following fee options:

I would like to donate a portion of my fees:

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Thanks for submitting!

We look forward to seeing you at one of our

"Camp at Home" virtual meet ups!

Los Angeles Office

Phone

(310) 751-3057 Office

(909) 752-5354 Fax

Diabetes Camping and Educational Services

12045 E. Waterfront Dr.

Playa Vista, CA 90094

Orange County Office

Diabetes Camping and Educational Services

2400 E. Katella Ave., Suite 800

Anaheim, CA 92806

Email

info@diabetescamping.org

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