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Camp Application Form
Fields in bold are required 
Select Camp Date:
 
November 27-28
December 27-31
Select Session:
Note: Lunch is not included for Full Day Campers
 
Thanksgiving (Member) -$75.00 (9:00 am to 4:00 pm)
Thanksgiving (Non-Member) -$100.00 (9:00 am to 4:00 pm)
Christmas Morning Only (Member) -$75.00 (9:00 am to 12:00 pm)
Christmas Morning Only (Non-Member) -$100.00 (9:00 am to 12:00 pm)
Christmas Full Day (Member) -$125.00 (9:00 am to 4:00 pm)
Christmas Full Day (Non-Member) -$175.00 (9:00 am to 4:00 pm)
Child's Name:
 
Address:
 
City, State, Zip:
 
Home Phone
 
Cell Phone:
 
E-Mail Address:
 
Date of Birth:
 
Age (As of May 1)
 
Grade
 
What school does your child attend?
 
Preferred Position (1)
 
Preferred Position (2)