Please complete this form

to receive more information.

Are you seeking:

Kids Camp or

Wilderness Adventures for teens or

Family Camp

___________________________________

For Grades 1-5 Grades 6-8 Grades 9-12

You are: Camper Parent/Guardian

Grade possible camper is entering in the fall 2007

*Camper First Name

*Camper Last Name

*Parent Salutation Ms. Mrs. Mr. Dr.

* Parent First Name

*Parent Last Name

*Address 1

*Address 2

*City *State *Zip

*Country

Day Time Phone *Primary Email

Best way to reach you (Phone - time of day, email)

Name of Camper's School

How did you find out about us?

AOL Search AltaVista Association of Independent Camps

American Camp Association Coach Friend

Camp Director Email Camp Fair

Ezine Google Guide Service Independentcamps.com

Kidscamps.com Magazine Article MSN.com

National Camp Association Newspaper Article

Peterson's School Student Camp and Trip Advisors

Tips on Trips and Camps Wall Street Journal Yahoo!

OTHER

Do you have any other questions?