2022 Camp Pennbrook Registration

2022 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 26th. If you require different dates, please call and we will do our best to accommodate you.
Camper's Information
Camper Name *
Date of Birth *

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

Street Address

Street Address Line 2

City State / Province

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

Google Friend/Relative Referral Agency Social Media
If Referral Agency or Friend/Relative please list here:

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2022 Camp Registration Form