Information Request
Items in red are needed to process your request!
First Name
Last Name
Address #1:
Address #2:
City:
State:
Zip:
Country
Home Phone:
Work or School Phone:
Cell Phone:
Fax Number:
Email Address:
Website URL:
First Child Name:
Age:
Grade:
Second Child Name:
Age:
Grade:
Third Child Name:
Age:
Grade:
Your relation to the children above?
Parent
Grandparent
Aunt/Uncle
Sibling
Guardian
Agent
Other
How did you hear about Camp Nashoba?
Friend
Nashoba Alumni
Web-Camp Search Site
Web-Search Engine
Print Ad
Camp Fair
Camp Advisor
Other
Any additional comments you would like to add:
If you leave an email address we'll send you an email confirmation of this request.