Request Free Information
Contact a Campologist
Request Free Information
Contact a Campologist
Request FREE Information
Sleepaway Camps, Teen Programs & Teen Summer Camps
FREE Summer Camp & Teen Program Advice
PARENT DETAILS
Parent 1 First Name
*
Parent 1 Last Name
*
Parent 2 First Name
Parent 2 Last Name
Street Address
*
Apartment # (if applicable)
Country
*
United States of America
United Kingdom
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombi
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepa
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
City
*
State
*
ZIP Code
*
Phone Number
*
Type of Phone
Home
Work
Mobile
Extension
Other Phone Number
Type of Phone
Home
Work
Mobile
Extension
Email Address
*
Who is completing this form?
*
Parent 1
Parent 2
Student
STUDENT DETAILS
Student's First / Last Name
*
Gender
*
Male
Female
Date of Birth
*
Age
*
Current Grade
K
1
2
3
4
5
6
7
8
9
10
11
12
Name of school
First Overnight Camp/Program Experience
Yes
No
What camps or programs have you previously participated in?
Interested in information for
2016
2017
2018
Please indicate preferences (you may select more than one)
Sleepaway camp
Co-ed
Boys Only
Girls Only
Brother - Sister
Uniform
Community Service
Travel & Wilderness Adventures
Pre-College / Academic / Enrichment
Specialty Camp (e.g. sports, weight loss, computers)
Creative and Performing Arts
Language Immersion
Teen Travel
Business / Social Entrepreneurship
Internship (16+ years)
Gap Year
College Age Summer Programs
Special Needs
Day Camp
Other
Please indicate other camp or program preferences
Session Length
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
Half Summer
Camp Location Preference
No preference
United States
Canada
South America
Europe
Asia
Indicate where in the US
Indicate where in Canada
Indicate where in South America
Indicate where in Europe
Indicate where in Asia
Price Range (per week)
*
Below $1000
Above $1000
Do you have a 2nd child/student?
Yes
No
2nd STUDENT DETAILS
Student's First / Last Name
*
Gender
*
Male
Female
Date of Birth
*
Age
*
Current Grade
K
1
2
3
4
5
6
7
8
9
10
11
12
Name of school
First Overnight Camp/Program Experience
Yes
No
What camps or programs have you previously participated in?
Interested in information for
2016
2017
2018
Please indicate preferences (you may select more than one)
Sleepaway camp
Co-ed
Boys Only
Girls Only
Brother - Sister
Uniform
Community Service
Travel & Wilderness Adventures
Sports Academic / Enrichment
Specialty Camp (e.g. weight loss, computers, snowboarding)
Creative & Performing Arts
Language & Cutural Immersion
Teen Tours
Internship (16 years+)
Gap Year
Special Needs
Day Camp
Other
Please indicate other camp or program preferences
Session Length
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
Half Summer
Camp Location Preference
No preference
United States
Canada
South America
Europe
Asia
Indicate where in the US
Indicate where in Canada
Indicate where in South America
Indicate where in Europe
Indicate where in Asia
Price Range (per week)
Below $1000
Above $1000
Do you have a 3rd child/student?
Yes
No
3rd STUDENT DETAILS
Student's First / Last Name
*
Gender
*
Male
Female
Date of Birth
*
Age
*
Current Grade
K
1
2
3
4
5
6
7
8
9
10
11
12
Name of school
First Overnight Camp/Program Experience
Yes
No
What camps or programs have you previously participated in?
Interested in information for
2016
2017
2018
Please indicate preferences (you may select more than one)
Sleepaway camp
Co-ed
Boys Only
Girls Only
Brother - Sister
Uniform
Community Service
Travel & Wilderness Adventures
Sports Academic / Enrichment
Specialty Camp (e.g. sports,weight loss, computers)
Creative and Performing Arts
Language Immersion
Teen Travel
Gap Year
Special Needs
Day Camp
Other
Please indicate other camp or program preferences
Session Length
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
Half Summer
Camp Location Preference
No preference
United States
Canada
South America
Europe
Asia
Indicate where in the US
Indicate where in Canada
Indicate where in South America
Indicate where in Europe
Indicate where in Asia
Price Range (per week)
Below $1000
Above $1000
How did you find us?
Relative or Friend
Google
Facebook
Other Search Engine
Community Paper
Word of Mouth
I'm a previous client
Other
Name of relative or friend
Email
Phone
Other - How did you find us?
Please indicate any additional helpful information
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We look forward to providing you with FREE, QUALITY advice so you can make the best decision for your child or teen. Thank you.