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CAMP INQUIRY FORM
Please provide the following information. After reviewing your responses, we will contact you to further discuss your child's camp needs. We will then arrange for information to be sent to your home on programs that we feel will best satisfy your needs and values.
Date:
Parent's Name:
Address:
City:
.......
State:
.......
Zip:
Parent's E-Mail Address:
.......
Cell Phone:
Home Phone:
.......
Work Phone:
Camper Name:
(Please list all siblings and their ages)
Sex:
Age:
Present Grade:
Birthdate:
Camper Name:
Sex:
Age:
Present Grade:
Birthdate:
Camper Name:
Sex:
Age:
Present Grade:
Birthdate:
Type Of Camp:
Choose Camp Style
Boy's
Girl's
Co-Ed
Brother/Sister
No Preference
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Location
:
Choose Location
NY/NJ/CT
Pennsylvania
New England
No Preference
Number Of Weeks:
Choose Duration
2 Weeks
3 Weeks
4 Weeks
6 Weeks
7-8 Weeks
open
Type Of Program:
Choose Program
Traditional Overnight
Specialty - Arts
Specialty - Science
Specialty - Sports
Specialty - Other
Academic Study
Community Service
Special Needs
Community Service
Teen Travel - Adventure
Teen Travel - Hotels/dorms
Weight Loss
How Did You Find Out About Us?
Choose One
Friend/Family/Neighbor
Internet - AOL
Internet - Google
Internet - MSN
Internet - Yahoo
Internet - Other
Mailing - Newsletter
Mailing - Postcard
Mailing - Other
Print Ad - Jewish Exponent
Print Ad - NY Magazine
Print Ad - NY Times
Print Ad - Other
Additional Needs/Requirements/Comments:
Previous Camp Experience:
Please Recommend A Friend
Parent's Name:
Child's Name:
Home Phone: