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Inquiry Form

Please provide the following information. (*) denotes a required field
Additionally, you must enter a name and e-mail address for at least one parent.
  Parent 1   Parent 2
Relationship Relationship
First Name First Name
Last Name Last Name
Work Phone Work Phone
Cell Phone Cell Phone
E-mail E-mail
Family Contact Information
Country   (if not US)
Address
Line 1		  * Home Phone  *
Address
Line 2		 Best time
to reach you
City  *

How did you
hear about us?

  *
State  *
Zip  *

Whom should
we contact?

  Child 1   Child 2
First Name * First Name
Last Name * Last Name
Gender * Gender
Date of Birth * Date of Birth

Grade

  (Sept. 2012 )*

Grade

  (Sept. 2012 )
School School
Season
Interested In		 Season
Interested In
Previous
Camp Experience		 Previous
Camp Experience
Interests Interests
Brief Description
of your child		 Brief Description
of your child

 

Children's privacy is of primary concern to us, and our Policy and practices reflect applicable laws and regulations on children's privacy.  We do not knowingly collect personal information from children under 18 years of age.  Any communication we get that is identified as being from a child under 18 will be immediately removed from our database.  All information gathered from our camp families is used exclusively for camp, and no third-party vendors.  We urge parents to regularly monitor and supervise their children's on-line activities.
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  200 Verrill Road Poland Spring, Maine 04274 Phone 207-998-4777
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