Camp Birchmont
System Maintenance
Inquiry Form
Notice: Required fields have a dotted underline.
Notice: Required fields are marked with a red asterisk at the end.
About You (Parent/Guardian)
First Name | |
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Last Name | |
Relationship |
Phone | Ex: 303-555-5555 |
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How would you prefer to be contacted?
(
Best time to call
)
Add another parent/guardian from your household.
Second Parent/Guardian
First Name | |
---|---|
Last Name | |
Relationship |
Phone | Ex: 303-555-5555 |
---|---|
Add a parent/guardian who resides at another address.
Add a parent/guardian who resides at another address.
Household #2
Household #2, Parent #1
First Name | |
---|---|
Last Name | |
Relationship |
Phone | Ex: 303-555-5555 |
---|---|
Add another parent/guardian to this household.
Household #2, Parent #2
First Name | |
---|---|
Last Name | |
Relationship |
Phone | Ex: 303-555-5555 |
---|---|
Additional comments Additional comments
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.
Thank You
Your Inquiry Form was submitted successfully.
Until the fun begins!
Summer 603.569.1337
Winter 516.621.5035