Overnight Camp Registration

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

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

Session preferred:     
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 $230 deposit is required for each application. You can pay the deposit online now with Visa or MasterCard.