Please fill the form out completely.
2012 Enrollment
If you wish to apply for more than one camp session, please fill out a separate application for each one.
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| Traditional Camps |
| EIGHT WEEKS |
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8W1: Thursday, June 14 - Thursday, August 9 |
$7300 |
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| FOUR WEEKS |
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4Week1: Thursday, June 14 - Wednesday, July 11 |
$4250 |
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4Week2: Friday, July 13 - Thursday, August 9 |
$4250 |
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| THREE WEEKS |
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3Week1: Thursday, June 21 - Wednesday, July 11 |
$3300 |
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| TWO WEEKS |
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2Week1: Thursday, June 14 - Wednesday, June 27 |
$2500 |
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2Week2: Thursday, June 28 - Wednesday, July 11 |
$2500 |
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2Week3: Friday, July 13 - Thursday, July 26 |
$2500 |
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2Week4: Friday, July 27 - Thursday, August 9 |
$2500 |
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| COED |
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COED: Saturday, August 11 - Tuesday, August 21 |
$1800 |
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| INTRO CAMP |
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INTRO: Thursday, June 14 - Monday, June 18 |
$650 |
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| Specialty Camps |
| GOLF CAMPS |
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G1: Thursday, June 21 - Wednesday, June 27* |
$995 |
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G2: Saturday, August 11 - Thursday, August 16 |
$895 |
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| TENNIS CAMPS |
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T1: Saturday, August 11 - Thursday, August 16 |
$895 |
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T2: Thursday, August 16 - Tuesday, August 21 |
$895 |
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| FAMILY CAMP |
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Saturday, August 11 - Thursday, August 16 |
Adults: $825
Children under 13: $625
Children 3 and under: FREE |
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| * denotes program for boys only |
Camper Information
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| Today's Date * |
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| New Camper? |
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| CAMPER DATA |
| Camper's First and Last Name * |
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| Nick Name |
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| Birthdate* |
mm/dd/yyyy |
| Gender |
Female |
Male |
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| School |
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| Grade During 2011-2012 School Year |
(Grade 11 is the LT program by invitation only.) |
| Camper's Address is address for:* |
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| Camper's Street Address * |
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| Camper's City * |
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| Camper's State * |
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| Camper's Zip * |
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| Camper's Country |
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| Camper's Phone * |
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| Best Fax |
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| MOTHER OR GUARDIAN DATA |
| Mother's First and Last Name |
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| Mother's Address (if different from camper's) |
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| Mother's Cell Phone |
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| Mother's Work Phone |
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| Mother's Work Fax |
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| Mother's Email |
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| Mother's Email (confirm) |
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| FATHER OR GUARDIAN DATA |
| Father's First and Last Name |
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| Father's Address (if different from camper's) |
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| Father's Cell Phone |
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| Father's Work Phone |
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| Father's Work Fax |
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| Father's Email |
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| Father's Email (confirm) |
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| Are Camper's parents separated or divorced? |
Yes |
No |
| If yes, summer correspondence should go to: |
Mother |
Father |
Both |
| If Both, please provide additional address: |
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| Were our camps recommended to you? |
Yes |
No |
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| If Yes, by whom? |
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| If No, How did you hear about us? |
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| If you are a new camper, please list a character reference (camp family or teacher) and phone: |
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| If a parent or grandparent are alumni, please list name(s) and year(s) - and maiden name if applicable: |
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Payment Information
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| Credit Card Type * |
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| Card Number * |
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| Expiration Date (mm / yyyy) * |
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| Card Security Code (3 or 4 digit) * |
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| Name on Card * |
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Amount
Two, Three and Four Week Camps and Family Camps require a $1500 deposit. Intro, Golf, and Tennis camps require a $500 deposit |
$
USD |
| If credit card billing address is different than Camper's home address, please provide: |
| Street Address |
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| City |
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| State |
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| ZIP |
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| Country |
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| Phone |
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Please charge my credit card for the balance due on the May 1 payment date |
Additional Information
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| Check items you would like details about: |
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Payment Plans, Financial Aid, & Camperships |
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