Student Tour and Camp Consultants













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If you would like us to get back to you with specific suggestions, please fill out the form below.

Camp and Tour Request Form
* required fields

Parent or Guardian:
First Name*:
Last Name*:
Relationship to Student:	Mother Father Other:
Day Phone*:
Evening Phone*:
E-mail Address*:
Street Address:
City:		State:
Zip Code:

Student #1:
First Name:
Last Name:
Age:
Date of Birth: (MM/DD/YYYY)
Grade:
Gender:	Male Female
First Time Camper?	Yes
Previous summer program(s) or experience:
Special Needs:
I am interested in:
Traditional Overnight Camps (Check all that apply:)
Co-ed Single Sex Brother/Sister
Number of weeks:
Specialty Programs: (Check all that apply:)
Teen Tours: USA Abroad Academics: Enrichment Pre-College Remedial Art Community Service Computers Dance Film/Photography Marine Biology Music: Voice Instrument		Language Immersion: Spanish French Other: Study in USA Study Abroad Sailing Scuba Theater/Drama Weight Loss Other:
Sports: (check all that apply)
Baseball Basketball Biking Cheerleading Field Hockey Football Golf Gymnastics Ice Hockey Roller Hockey Horseback Riding		Ice Skating Lacrosse Roller Blading Skiing Soccer Softball Swimming Tennis Volleyball Other:
Student #2:
First Name:
Last Name:
Age:
Date of Birth: (MM/DD/YYYY)
Grade:
Gender:	Male Female
First Time Camper?	Yes
Previous summer program(s) or experience:
Special Needs and Interests:
Student #3:
First Name:
Last Name:
Age:
Date of Birth: (MM/DD/YYYY)
Grade:
Gender:	Male Female
First Time Camper?	Yes
Previous summer program(s) or experience:
Special Needs and Interests: