Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Confirmation Email
name@example.com
How did you hear about Camp Get-A-Way?
*
Is there anything specific that is prompting your visit? What are you hoping to take away from your visit?
When would you like to visit camp? Visitor sessions are held from 4pm to approximately 8:30pm and will include dinner.
August 22, 2023; Camp Bristol Hills; Canandaigua, NY
August 29, 2023; Camp Comstock; Ithaca, NY
September 16,2023; Camp Reimagined; Huguenot, NY
October 14, 2023; Dorothy P Flint Camp; Riverhead, NY
Since your visit will include dinner, do you have any dietary restrictions we should be aware of?
Have you undergone a background check in the last 5 years? If your answer is no, the camp director will reach out to you.
Yes
No
Do you work with and/or for a Family Support or Children's Mental Health Provider?
*
Yes
No
If yes, with whom do you work?
*
What is your current role with them?
*
Anything else we should know?
Submit
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