I AM REQUESTING A:
INFO PACKAGE DVD HOME VISIT

Dr. Mr. Mrs. Ms.
FIRST NAME:
LAST NAME:
MAILING ADDRESS:
Street:
City:
Province:
Postal/Zip Code:
Country:
HOME PHONE NUMBER:
EMAIL ADDRESS:
HOW DID YOU FIND OUT ABOUT US? Referred by a friend     who: Camping publication     which one: Internet Search engine     which one: Camping web site     which one: Camp Fair     where: Agency     which one: MySummerCamps.com Other

PLEASE TELL US A LITTLE BIT ABOUT YOUR CAMPER:
FIRST NAME:
LAST NAME:
AGE:
GENDER:		M     F
GRADE:
PLEASE TELL US A LITTLE BIT ABOUT YOUR SON/DAUGHTER'S INTERESTS AND THE LENGTH OF SESSION YOU ARE LOOKING FOR