Summer Camp: 516-374-6383
Fat Camp
Fat Loss
Low Fat Diet
Body Fat
Weight Loss
Special Need Camp
Weight Loss Program
Weight Loss Camp
Summer Camp
Teen Summer Camp
Overnight Summer Camp
 
Summer Camp Application
The Summer lady
Camp to Campus
 

BOYS & GIRLS OVERNIGHT PROGRAMS
A Free Advisory Service

516-374-6383
866-566-2267

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
 

One of the following fields is required: Mother Or Father.

* 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:

Father    Mother    Student
   

* Interested in information for:

2011    2012    2013   
   

* Weekly Price Range:

Under $1,000.00    Over $1,000.00

 

 

First Child Information

* Child's First Name:

* Child's Last Name:

* Date of Birth:

/ / mm/dd/yyyy

* 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)

AcademicArtDance
TheatreHigh School InternshipsCollege Internships
MusicRemedialWeight Loss
Outdoor AdventureCommunity ServiceLanuguage
Teen ToursPre-College EnrichmentHorseback Riding
ComputersFilmmakingCooking
BikingSailing/ScubaGAP Year

Other: 


Sports Camps:
*Prices Start at $400 / Week (check all that apply)

BaseballBasketballFootballSoccer
TennisGolfSkateboardingLacrosse
Ice Hockey

Other:

 

Second Child Information

* Child's First Name:

* Child's Last Name:

* Date of Birth:

/ / mm/dd/yyyy

* 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)

AcademicArtDanceTheatre
High School InternshipsCollege InternshipsMusicRemedial
Weight LossOutdoor AdventureCommunity ServiceLanuguage
Teen ToursPre-College EnrichmentHorseback RidingComputers
FilmmakingCookingBikingSailing/Scuba
GAP Year

Other: 


Sports Camps:
*Prices Start at $400 / Week (check all that apply)

BaseballBasketballFootballSoccer
TennisGolfSkateboardingLacrosse
Ice Hockey

Other:

 

Third Child Information

* Child's First Name:

* Child's Last Name:

* Date of Birth:

/ / mm/dd/yyyy

* 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)

AcademicArtDanceTheatre
High School InternshipsCollege InternshipsMusicRemedial
Weight LossOutdoor AdventureCommunity ServiceLanuguage
Teen ToursPre-College EnrichmentHorseback RidingComputers
FilmmakingCookingBikingSailing/Scuba
GAP Year

Other: 


Sports Camps:
*Prices Start at $400 / Week (check all that apply)

BaseballBasketballFootballSoccer
TennisGolfSkateboardingLacrosse
Ice Hockey

Other:

 

Fourth Child Information

* Child's First Name:

* Child's Last Name:

* Date of Birth:

/ / mm/dd/yyyy

* 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)

AcademicArtDanceTheatre
High School InternshipsCollege InternshipsMusicRemedial
Weight LossOutdoor AdventureCommunity ServiceLanuguage
Teen ToursPre-College EnrichmentHorseback RidingComputers
FilmmakingCookingBikingSailing/Scuba
GAP Year

Other: 


Sports Camps:
*Prices Start at $400 / Week (check all that apply)

BaseballBasketballFootballSoccer
TennisGolfSkateboardingLacrosse
Ice Hockey

Other:

 

Fifth Child Information

* Child's First Name:

* Child's Last Name:

* Date of Birth:

/ / mm/dd/yyyy

* 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)

AcademicArtDanceTheatre
High School InternshipsCollege InternshipsMusicRemedial
Weight LossOutdoor AdventureCommunity ServiceLanuguage
Teen ToursPre-College EnrichmentHorseback RidingComputers
FilmmakingCookingBikingSailing/Scuba
GAP Year

Other: 


Sports Camps:
*Prices Start at $400 / Week (check all that apply)

BaseballBasketballFootballSoccer
TennisGolfSkateboardingLacrosse
Ice Hockey

Other:

 

How many children do you need help with: 

 
 

 

-

       © 2005 Copyright The Summer lady. All rights reserved.
     Designed by: Networks by Design