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Asthma Camp Request for Application

Name:

Address:

City: State: Zip

Phone: (w) (h)

Child's name: age:

Camp Session to Attend
Sleep-over Camp, ages 9 to 14, July 18 - July 23 at Big Bear Lake
Day Camp, ages 5 to 12, June 28 - July 23 at California State University, Long Beach

Preferred time for parent orientation:
weekday evening weekend morning

Comments:


(Updated 03/17/99)

When You Can't Breathe, Nothing Else Matters ?
The mission of the American Lung Association of Los Angeles County
is to prevent and eliminate lung disease
and to improve the quality of life and health of those with lung disease.
Your contributions to

 Christmas Seals? and Chanukah Seals? help make the difference.

For more information on lung health, programs, and special events,
call ? ? (or ? ; ? ; ?1-800-LUNG-USA), ? or send us email.
? 1999 American Lung Association of Los Angeles County

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