School Name* Lead Teacher Name* First Last Grade Level* Expected number in your group*Phone*Email* Street Address City State Zip Code What is the best way/time to contact you? Desired Arrival Date(s) Desired Departure Date(s) I’m interested in (check all that apply) 1 day package 2 day package 3 day package Extra Camp Staff Instructor Other Questions/Comments for our staff:CAPTCHANameThis field is for validation purposes and should be left unchanged.