Camper Information

Camper First Name Last Name

Sex Age Birth Date Camper e-mail

Parent Name Parent Last Name

Street Address Town State Zip

Home Phone Fathers Work Phone Mothers Work Phone

Emergency Phone not parent Parent Cell Phone # Camper Cell Phone #

Parent e-mail Cabinmate requestCampers School

Registration Dates & Fees

Discovery Camp - 6/15 - 6/27 -2 week program for first time girl & boy campers, Ages 6-12. Cost $1200

Explorer Camp I - 6/29-7/18 -3 week program for all boys & girls, Ages 7-15. Cost $1900

Explorer Camp II - 7/20-8/8 -3 week program for all boys & girls, Ages 7-15. Cost $1900

Adventure Camp - 6/29-8/8 -6 week program for all boys & girls, Ages 7-15. Cost $3600

Canadian Canoe Trip - Aug 13-17 -For experienced boy & girl campers, Ages 14-17. Cost $400

Additional Options

Camp Store - $75.00	Photo Book - $50.00	Scuba Discovery - $150.00
Bus Transportation - $150.00	Insurance - $35.00	Scuba - $375.00
Horseback Riding - $85.00	Educational Tutoring - $60.00	Between Session Care - $150.00
Camp Video - $25.00	Sheets & Blankets - $35.00	for Adventure Camp Participants

If camper does not live with both parents

Parent marital status Married Father Deceased Mother Deceased Single Parent Seperated Divorced Camper lives with Both Parents Father Mother Grandparents Adopted Foster Parents Release Camper to

*That's it... Thanx for your application. This application does not guarantee a spot for your child at camp. A confirmation letter will be mailed in just a few days. If your child is not accepted your payment will be refunded Please use PayPal.com to make a minimum payment of $100.00. This fast, secure, FREE, Internet payment program allows you to debit an amount directly from your credit card and e mail it to swiftcamp@aol.com

Ias the parent or guardian of the camper understand and accept all policies as outlined in the Enrollment Policies on this webpage and in the written materials. must be completed to accept registration

I will send in a check Payment I will Bill my visa with PayPal.com How did you hear of Swift

Additional Notes

The Mark Lamberson Campership Fund
Please make a tax deductable donation to help other less fortunate children attend camp. All funds are matched by SNC

$25.00

$50.00

$100.00

$250.00

$500.00

$1000.00

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