2023 Camp Pennbrook Registration

2025 Camp Registration Form

You can register for camp here by filling out the form below and select the dates of your choice or by calling us at 800-442-7366 (or 212-354-2267). The minimum stay is two weeks, and can start as early as June 21st. If you require different dates, please call and we will do our best to accommodate you.
Camper's Information
Camper Name*
Date of Birth*

MonthDayYear
Age
Entering Grade in September*
Primary Email
example@example.com
Camper's Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Camper Attends*
How Did You Learn About Camp Pennbrook?

GoogleFriend/RelativeReferral AgencySocial Media
If Referral Agency or Friend/Relative please list here:

2025 Camp Registration Form