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* Indicates required question
Email
*
Your email
First and Last name:
*
Your answer
What is your date of birth?
*
MM
/
DD
/
YYYY
If under 18 who is your guardian over the age of 24 and their contact number?
Your answer
Personal Contact number:
*
Your answer
Gender
*
Female
Male
Where are you staying during camp/assembly? If other then dorm please list Cabin/Camper number.
*
Dorm
Other:
Which nights are you staying in the dorms?
*
All Week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
None
Required
Are you in any way working on the camp ground for the week? If so which area?
*
No
NYI Worker
Dinning Hall
Snack Shack
Child Care
Other:
Type of Payment:
*
Cash
Check
Worker
Other:
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