Camp Echo Application 2024
Camp Echo will be held Monday, July 29th through Friday, August 2nd, 2024.

This application must be submitted by April 15th, 2024.

Applications received after that date will be considered on a first come first serve basis. Please complete one form for each camper attending camp. 
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Camper's First Name *
Camper's Middle Initial
Camper's Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
City *
State *
Zip Code *
County *
Township
Gender *
Does your Camper have a Cardiologist? *
If yes, who is your Camper's Cardiologist?
Vaccine *
Booster? *
T-Shirt Size *
Parent/Guardian 1 First and Last Name *
Parent/Guardian 1 Phone Number *
Parent/Guardian 1 Email Address
Parent/Guardian 1 Relationship to Camper *
Parent/Guardian 2 First and Last Name
Parent/Guardian 2 Phone Number
Parent/Guardian 2 Email Address
Parent/Guardian 2 Relationship to Camper
Any questions, please call Dawn Bressler at (570)784-1290 or (570)594-1242 before 11 PM ET or email campechopa@gmail.com at any time.
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