Please provide the following camp information. A Camp Consultant will then call you to further discuss your child and make appropriate recommendations. Brochures and videos will be promptly forwarded to your home on programs of interest.

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*Mother's Full Name:

*Father's Full Name:

*Street Address:

*City:

*State/Province:

*Zip:

*Country:

*Home Phone:

Cell Phone:

Work Phone:

*E-mail:

1st CHILD'S INFORMATION

*Child's First Name:

*Child's Last Name:

*Date of Birth:

*Current School Grade:

Previous Camp Experience:

I am looking for information on:

2 week 4 week 6 week Full Summer

Traditional Sleepaway Camps Pre-College Programs

Specialty Sleepaway Camps Community Service

Outdoor Adventure Programs Teen Tours

*Who submitted this inquiry:

Please Select Your Option Student Parent

2nd CHILD'S INFORMATION

Child's First Name:

Child's Last Name:

2nd Date of Birth:

Current School Grade:

Previous Camp Experience:

I am looking for information on:

2 week 4 week 6 week Full Summer

Traditional Sleepaway Camps Pre-College Programs

Specialty Sleepaway Camps Community Service

Outdoor Adventure Programs Teen Tours

3rd CHILD'S INFORMATION

Child's First Name:

Child's Last Name:

3rd Date of Birth:

Current School Grade:

Previous Camp Experience:

RECOMMEND A FRIEND!

Mother's Full Name:

Father's Full Name:

Child's Full Name:

Street Address:

City:

State/Province:

Zip:

Home Phone:

Please note: Submission of this form does not in any way obligate you to use Camp Connection as your camp referral and personalized advisory service. Camp Connection will hold all information provided above as confidential.