School Name*Lead Teacher Name* First Last Grade Level*Expected number in your group*Phone*Email* Street AddressCityStateZip CodeWhat 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.