Marine Camp Registration
October 1-4, 2026
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Chapter Information
Chapter Name
Advisors Names
Advisors Emails
example@example.com
Advisor Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Number of Adult Males. Teachers and chaperone should be included in this number.
Number of Male Students
Number of Adult Females. Teachers and chaperone should be included in this number.
Number of Female Students
Total Number of Participants. Teachers + Chaperones + Students.
TOTAL DUE. # of participants X $225.00 - $260
TOTAL DUE. # of Chaperones Not Going On Boat X $180 - $215
Traveling with another chapter? Which one?
Fill out the number of T shirts you need for each size below.
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