Contact Name*
*
Contact Email *
*
Grade(s) that would be attending
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Other
School Name
*
Grade(s) that would be attending:
*
3rd
4th
5th
6th
7th
8th
Other
School Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Phone
Format: (000) 000-0000.
Preferred Time Frame for Trip
*
Early Fall
Late Fall
Early Spring
Late Spring
Winter
Expected Group Size
*
Program Interests
Pioneer Heritage
Foundations for Success
Earthship Journey
Discovering Nature
Christmas in the Colonies
Other
Additional Comments
How did you hear about Camp Tecumseh?
Online search
Facebook/Instagram
Word of mouth
Have attended other programs
A mailing to my house
Other
Who can we thank for referring you?
Are there any additional program(s) you are interested in learning more about?
Overnight Camp
Day Camp
Cub/Girl Scouts
Y Adventure Guides and Princesses
Church Events
Conferences and Retreats
Other
*
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