EmailMe Form - Tokeneke Beach Camp & Adventure Club 2017

Tokeneke Beach Camp & Adventure Club 2017

Last Name *
Cell Phone *
### - ### - ####
Email *
Camper 1
Camper's Name
Date of Birth
MM / DD / YYYY
Grade Entering Fall 2017
Swim Level
Swimmer
Near Swimmer
Non-Swimmer
Please select the weeks your child will be attending. New this season camp will run Monday - Friday.
Week One: 6/19 - 6/23
Week Four: 7/10 - 7/14
Week Two: 6/26 - 6/30
Week Five: 7/17 - 7/21
Week Three: 7/3 - 7/7 - no camp July 4th - this week will be pro rated.
Week Six: 7/24 - 7/28
Health Conditions and Special Requests
Camper 2
Camper's Name
Date of Birth
MM / DD / YYYY
Grade Entering Fall 2017
Swim Level
Swimmer
Near Swimmer
Non-Swimmer
Please select the weeks your child will be attending. New this season camp will run Monday - Friday.
Week One: 6/19 - 6/23
Week Four: 7/10 - 7/14
Week Two: 6/26 - 6/30
Week Five: 7/17 - 7/21
Week Three: 7/3 - 7/7
Week Six: 7/24 - 7/28
Health Conditions and Special Requests
Camper 3
Camper's Name
Date of Birth
MM / DD / YYYY
Grade Entering Fall 2017
Swim Level
Swimmer
Near Swimmer
Non-Swimmer
Please select the weeks your child will be attending. New this season camp will run Monday - Friday.
Week One: 6/19 - 6/23
Week Four: 7/10 - 7/14
Week Two: 6/26 - 6/30
Week Five: 7/17 - 7/21
Week Three: 7/3 - 7/7
Week Six: 7/24 - 7/28
Health Conditions and Special Requests

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