Camp Registration

Overnight Camp Registration

First name: Last name:
Mailing address line 1 (required):
Mailing address line 2 (optional):
City: State/province: Zip/postal code:
Country (if not U.S.):
Primary phone number:
Secondary phone number:
E-mail address:

School name:      Grade (before camp):
Boy Girl      Birthdate: / /
Height: ft. in.      T-shirt size:
Date of last tetanus shot: / /

Session preferred: Overnight Commuting
Group name (for group discount):
Preferred roommate(s) (all requests must match):

How did you learn about our camp?
Promo code (if provided by camp):
Optional transportation to camp:
Optional transportation from camp:

A $240 deposit is required for each application. The deposit is refundable until April 15, 2010. You can pay the deposit with Visa or MasterCard.

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