516-374-6383866-566-2267
SUMMER CAMP & PROGRAM INFORMATION
We will forward all summer camp information and recommendations directly to you. All information will be held in confidence.
* INDICATES REQUIRED FIELD
* Mother's First & Last Name:
* Father's First & Last Name:
* Relationship to Children:
* Address:
* City:
* State:
* Zip Code:
Country:
* Home Phone:
Work Phone:
Cell Phone:
* Email Address:
* Who is filling this out:
* Interested in information for:
* Weekly Price Range:
First Child Information
* Child's First Name:
* Child's Last Name:
* Date of Birth:
* Age:
* Gender:
* Current Grade:
* Previous Camp Experience:
Please tell us what types of Camps or Programs you are interested in:
I am looking for information on the following camps: (check all that apply) 2 Weeks 4 Weeks 6 Weeks Full Summer
Sleepaway Camps: *Prices Start at $800 / Week (check all that apply) Co-Ed Brother/Sister Single Sex No Preference
Specialty Summer Camps & Programs:(check all that apply)
Other:
Sports Camps: *Prices Start at $400 / Week (check all that apply)
Second Child Information
Third Child Information
Fourth Child Information
Fifth Child Information
How many children do you need help with: 1 2 3 4 5
-