Contact Information
Father
First Name
Last Name
Mother
First Name
Last Name
Street 1
Street 2
City
State
Zip
Country
Phone
(w/ area code)
Additional Phone
Email Address
(ie. bestmommy@aol.com)
We are interested in...
the upcoming summer
the following summer
How did you hear about Camp Echo?
Attending Children
1.
Name
Age
Birthdate
Grade
(for Fall 2008)
Interests/Needs
Previous Camping Experience
2.
Name
Age
Birthdate
Grade
(for Fall 2008)
Interests/Needs
Previous Camping Experience
3.
Name
Age
Birthdate
Grade
(for Fall 2008)
Interests/Needs
Previous Camping Experience
4.
Name
Age
Birthdate
Grade
(at time of attendance)
Interests/Needs
Previous Camping Experience
SUMMER: PO Box 105, Burlingham, NY 12722 • Phone: 516.620.4301 • Fax: 516.620.4330
WINTER: P.O. BOX 1143, Ridgewood , NJ 07451 • 201.251.0414 • Fax: 201.652.7002 •
2007-2008 © Copyright Camp Echo. All Rights Reserved.
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