Sleepaway Summer Camp Form

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MAKE SURE YOU'RE WITH YOUR CAMPER FOR SECTION 3 OF THIS FORM

Camper Information

Name

First

Last

Date of Birth

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent / Guardian / Emergency Contact Information

Name - Parent / Guardian 1

First

Last

Cell Phone Number - Parent / Guardian 1

Email - Parent / Guardian 1

Name - Parent / Guardian 2

First

Last

Cell Phone Number - Parent / Guardian 2

Email - Parent / Guardian 2

Name - Emergency Contact (if parent or guardian is not available)

First

Last

Cell Phone Number - Emergency Contact

People Authorized to Pick-up Camper (Please list names separated by commas)

Does the camper have a bedroom buddy? (A friend they would like to share rooms with. Not all requests are guaranteed)

Is the Camper bringing a cell phone to Camp?

Please click the box below to acknowledge

I understand cell phones will be taken away from campers. I do not expect my child to have access to it if not in case of emergency. If I need to reach my child I will contact the camp directly.

*** For O.S.C's ONLY! *** As an O.S.C. you get to be part of the counselor in training program for day camp. If you wish to participate, please select the weeks you would be available as a C.I.T. for day camp.

Week 1: July 17 - 21
Week 2: July 24 - 28
Week 3: July 31 - August 4
Week 4: August 7 - 11

Do not select anything if you are not a O.S.C. Please click Next below.