Update Your Record

Please take a moment to complete this form so that we may add the information to our records.

denotes required field

Why I'm Updating My Record 1

I've received information from Camp in the past. My address has changed.
I've never received information from Camp. I would like to.
I just completed my child's Camp application. I checked the former staff or former camper box.

My Personal Information

Title:
First Name: 1
Name Called: 1
Middle Name:
Last Name: 1
Maiden Name:
 
Permanent Address: 1
City, State, Zip: 1 1 1
College:
Graduation Year:
   
Primary Email: 1
Other Email:
Permanent Phone: 1
Other Phone:
Mobile Phone:
Fax:
Date of Birth: 1
   
Your Occupation:
Please let us know of any old addresses at which you may be receiving mailings

My Camp History

Former Camper Yes No
Former Staff Yes No
Other Camp Connection

Former Staff - Please list your roles/activities at camp, and the years in which you were at camp.

Ex: Aquatics, '90s, Head Counselor, '60s

Spouse Information

Spouse Name:
Name Called:
Middle Name:
Last Name:
Maiden Name:
Occupation:
Date Of Birth:
Mobile Phone:
Email:
School/College:

Spouse's Camp History

Former Camper Yes No
Former Staff Yes No
Other Camp Connection

Former Staff - Please list their roles/activities at camp, and the years in which he/she was at camp.

Ex: Aquatics, '90s, Head Counselor, '60s

Children's Information

 
Child Name: DOB: Grade:
Child Name: DOB: Grade:
Child Name: DOB: Grade:

Names & Addresses of Parents

Name: Address:
Name: Address:
Name: Address:

Mom

Former Camper Yes No
Former Staff Yes No
Other Camp Connection

Former Staff - Please list their roles/activities at camp, and the years in which she was at camp.

Ex: Aquatics, '90s, Head Counselor, '60s

Dad

Former Camper Yes No
Former Staff Yes No
Other Camp Connection

Former Staff - Please list their roles/activities at camp, and the years in which he was at camp.

Ex: Aquatics, '90s, Head Counselor, '60s