3 CROSSES 

Summer Camp campership Request form

campership applications will only be accepted through June 25th 2017

Camper's Name *
Camper's Name
Birthdate *
Birthdate
Gender *
Campers 2's Name (optional)
Campers 2's Name (optional)
Do you have more than one Camper in your household? Fill out the feilds below for each of them.
Camper 2's Birthday (optional)
Camper 2's Birthday (optional)
Camper 2's Gender
Campers 3's Name (optional)
Campers 3's Name (optional)
Campers 3's Birthday (optional)
Campers 3's Birthday (optional)
Campers 3's Gender (optional)
Parents Phone # *
Parents Phone #
Please list the number of years they have each attended
Mailing Address *
Mailing Address
You can only request up to $295 Please list amount for each student if you are applying for more than one.