Register Online!
Fill out the following form, it is that easy!
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indicates required fields
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Last Name:
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First Name:
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Entering Grade:
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Age:
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DOB:
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Sex:
Boy
Girl
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Address:
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City:
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Home Phone:
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E-Mail:
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Mothers Name:
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Mothers Buisness Phone:
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Mothers Cell Phone:
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Fathers Name:
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Fathers Buisness Phone:
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Fathers Cell Phone:
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Person to call incase of an emergeny:
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Home Phone:
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Cell Phone:
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2nd emergency contact:
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Home Phone:
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Cell Phone:
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Weeks Desired:
June 25 - June 29
July 2 - July 6 (pro-rated)
July 9 - July 13
July 16 - July 20
July 23 - July 27
July 30 - Aug 3
Aug 6 - Aug 10
Aug 13 - Aug 17
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Paymeny Type:
Cash
Check
Credit Card
Kindercamp Only:
Full Week
3 Days - M,W,F
2 Days - Tu, Th
Returning Camper:
Yes
No
3 payment options: 1. Credit card - must call over the phone with credit card number (732-583-0138) 2. Check - mail in or bring in 3. Cash - bring in
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