Info Request Form

In accordance with the Children's Online Privacy Protection Act a person must by 13 years of age or older to complete and submit this form.

Information

Session 1 June 24 thru July 6
Session 2 July 8 thru July 20
Session 3 July 22 thru August 3

Tuition per Session: 1, 2 or 3: $2790
An additional session is $2590.
For a camper attending all three sessions the third session is $2390.

There is a one time $100 sibling discount for 2nd child

$500 Deposit per session

Tuition includes room & board, on-campus activities, local off campus trips (i.e. bowling, movies, etc.), laundry, evening & bedtime snacks, etc. The "Between Session Stayover" is $195.

Please Fill Out & Complete All Fields
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PROSPECTIVE CAMPERS

Please fill out the following information to receive:

Additional Promotional Materials
Parent's Name:
Address:
City:
State and/or Country:
Zip or Postal Code:
Home Phone:
Work Phone:
Cell Phone:
Email Address:

Camper Information
1st Camper's Name:
Date of Birth:
Grade as of 09/12:

2nd Camper's Name:
Date of Birth:
Grade as of 09/12:

3rd Camper's Name:
Date of Birth:
Grade as of 09/12:

How did you hear about us?

Comments to Joel:

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