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Summer Solutions - Specializing in happy campers since 1984!
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Interested in finding the right camp for your child? Give us a call today at 800.729.7090. Or, complete this form and your information will be e-mailed to us. Once we receive your information, we will follow up by phone or e-mail. Please complete one form per child.

 

Parent Info:

Title:
First Name:
Last Name:
Name of Person Filling Out Form:
Relationship to Camper: If 'other', please specify:

Mailing Address:

Street:
City:
State/Province
Postal Code:
Country:

Contact Preferences:

Daytime Phone: E-Mail Address:
Evening Phone:
Preferred Contact Method: <% if preferred_contact_method="phone" then doCheckPhone="checked" doCheckEmail="unchecked" end if if preferred_contact_method="email" then doCheckPhone="unchecked" doCheckEmail="checked" end if %> > Phone    > Email
Preferred Time (Phone Only) <% if preferred_time="morning" then doCheckAM="checked" doCheckPM="unchecked" end if if preferred_time="evening" then doCheckAM="unchecked" doCheckPM="checked" end if %> > Morning > Evening

Camper Information:

Camper's First Name:
Camper's Last Name:
Date of Birth:      
Current Grade:
Gender: Male    Female  
1st Time Camper? Yes    No  
Previous Programs Attended (Separate by Commas):
Length of Desired Program Session:

General Program Questions:

Program Type:
Desired Location(s): Northeast Mid-Atlantic Southeast
Midwest Outside USA Flexible
Is there a Specific Location?
Special Interests:
Special Needs:

Specialty Program Questions

Specialty Camps: Fine Arts Performing Arts Music
Weight Control Academic Teen Travel
Wilderness / Adventure Community Service
Sports Specify
Language Specify
Religious Specify
Special Needs Specify
Other Specify

Other Information:

How Did You Find Us? If 'other', please specify:
Please provide us with any other important information or comments.