Camp K Interest Form

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Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Current school familySocial MediaAdvertisementWord of mouthFormer AJCC parentOther
Child 1 Name*
Child 1 DOB*

MonthDayYear
Date
Child 2 Name
Child 2 DOB

MonthDayYear
Date
Anticipated enrollment date
What are you looking for in a day camp?
Is there anything else you'd like to share with us?
Tell us about your child's previous camp experience
Should be Empty:

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