Camp Augusta 2010 Camper Interest Form

Greetings from camp!

Welcome to our
Camper Interest Form
for the summer of 2010 at

Camp Augusta!

Currently all of our sessions are full for the Summer of 2010, however,
we are still accepting New Camper Interest Forms. The interest forms that we receive after March 15th will be added to our waiting list for 2010. We will only be contacting you if a space should become available for your camper. Occassionally a space will open up between now and the summer, though we cannot guarantee anything at this time.

If we do receive your interest form now and a space does not open for your camper this summer, we will be contacting you later in the fall for a heads up regarding the summer of 2011.

**Please note that our two week sessions have much shorter waiting lists than our one week sessions this summer.

**More than one camper can be entered on the same form provided that their session choices are the same. If you have multiple campers that have different session choices please fill out a separate form for each camper.

Mini Camp (6-9 years old)
Full Session Summer Camp (8-16 years old)
CIRCLE Program (15.75-17 years old)

2010 dates can be found on the drop down menus for session choices below.

If you have any questions about camp or this form please feel free to give us a call at the office at 530-265-3702 or send us an email at office@campaugusta.org.

Contact information

* Camper 1 first name

* Camper 1 last name

* Gender

Male

Female

* Age as of June 20, 2010

Camper 2 first name

Camper 2 last name

Gender

Male

Female

Age as of June 20, 2010

Camper 3 first name

Camper 3 last name

Gender

Male

Female

Age as of June 20, 2010

* Parent/Guardian first name

* Parent/Guardian last name

* E-mail address 1

Optional 2nd e-mail address

* Home phone number

Cell phone number

Street address 1

City

State

Zip code

For addresses in countries other than the U.S.

* How were you introduced to Camp Augusta? (Please check all that apply)

Session Choices

* First session choice

Second session choice

Third session choice

Fourth session choice

Fifith session choice

Sixth session choice

And a few more things...

Are there any campers that are coming to camp next summer, or that will be new to camp, that your camper would really like to be with? (Please note that there will be other opportunities to make these requests in the future in the event that a space is available for your camper, and that we will do our best to meet these requests)

Please list names here (first and last):

If there is any other information regarding your "Camper Interest Form" that you would like to add, please use the space provided. (For example, camper is interested in multiple sessions, points from last year, etc.)

If there is anyone that you know who would like to receive more information about camp, please enter their name and address here and we will be happy to contact them.

Name

E-mail address (optional)

Street address

City

State

Zip code

For addresses in countries other than the U.S.

Thank you again for your interest in Camp Augusta!!!
Please note that we will only be contacting you this summer if a space should become available for your camper.
If you see the "Congratulations" message pop up after you hit the submit button we have received form.

* Indicates Response Required