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 #

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 11-15 -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
Camp Video - $25.00	Sheets & Blankets - $35.00

If camper does not live with both parents

Parent marital status

Camper lives with Release Camper to

*That's it... Thanx for your application. Please enclose your check and mail your application to Swift Nature Camp 25 Baybrook, Oak Brook, Il . 60523 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 in full.

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

Additional Notes