camper application

To register, you may either REGISTER ONLINE or download a copy of the 2008 Camper Application, please visit our Download Center.

request brochure & video

Mailing Address

Parent First Name:
Parent Last Name:
Address 1:
Address 2: (optional)
City: State/Province: Postal Code:
Country:
Phone Number:   Email Address:
For Summer of:
Camper First Name: Camper's Age: Camper's Current Grade:
Camper First Name: Camper's Age: Camper's Current Grade:
Camper First Name: Camper's Age: Camper's Current Grade:
Check those you need:
 Video (DVD)
 Video (VCR)
Brochure
Enrollment Forms		   
Check the desired camp:
Camp Chinqueka for Girls
Camp Awosting for Boys

WHO/WHAT DIRECTED YOU TO OUR WEBSITE INITIALLY? (*Required)

Comments:


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