CAMP CAYUGA DVD & BROCHURE REQUEST FORM
 
Please provide the following contact information: (* = required field )
Parent's First Name:
Parent's Last Name:
Home Telephone Number:
Mailing Address:
Mailing Address (cont):
City/Town:
State Province:
Zip Postal Code:
Country:
Parent's Work Telephone Number:
Parent's Cell Phone Number:
Fax Number:
Parent's Email Address:
Please provide the following information for Child #1:
Camper's First Name:
Camper's Last Name:
Camper's Date of Birth:
Camper's Gender: Male Female
Entering Grade in September:
Length of Stay at Camp:
Please provide the following information for Child #2:
Camper's First Name:
Camper's Last Name:
Camper's Date of Birth:
Camper's Gender: Male Female
Camper 2 Entering Grade in Spetember:
Camper 2 Length of Stay:
My child is interested in the following:
(Check all that apply)
Horseback Riding, Horse Care, Etc. Team Sports
Water Sports, Scuba Diving. Etc. Intercamp Tournament Competitions
Flying Trapeze & Circus Arts Individual Land Sports
USTA Tennis Program, Private Lessons, Etc. Non-Competitive Activities
Adventure & Wilderness (Rock Climbing, Overnights, Backpacking, Etc.) Creative Arts (Pottery, Ceramics, Etc.)
Paintball Games Performing Arts
Skateboarding & In-Line Skating Media Arts (Photography, Radio Broadcasting, Filming, Etc.)
Extreme Sport Jumping Trips (Canada, Busch Gardens, Hershey Park, Etc.)
Academic Tutoring & ESL Teen Campus Program
Let us know your source of information:
Learned About Cayuga:
Web Site Directory:
Referral Name:
OtherSource:
SearchEngine:
I am interested in receiving the following:
(Check all that apply)
Color Brochure
DVD or    VHS Tape
References: I would like to speak with other parents who had campers attend Cayuga.
Driving Directions. I would like to visit Cayuga. Call me to arrange a tour date.
Home Presentation. I would like to meet one of the Camp Directors.
More information. Please call me.
Questions and Comments:
Person Completing Form:


CAMP CAYUGA IN HONESDALE, PENNSYLVANIA
A PRIVATE COED RESIDENTIAL SUMMER CAMP
Email: info@campcayuga.com

BUSINESS OFFICE ADDRESS
 (Mid-September to early June)
Camp Cayuga
PO Box 151- Suite INT,
Peapack, New Jersey 07977, USA
Telephone: 908-470-1224, Fax: 908-470-1228.

SUMMER ADDRESS
 (Mid-June to early September)
Camp Cayuga
321 Niles Pond Road - Suite INT,
Honesdale, Pennsylvania 18431, USA
Telephone: 570-253-3133, Fax: 570-253-3194.
This website is copyrighted.
No part of this website may be used in whole or part in any form without the written permission of Camp Cayuga.
Copyright © 2001-2007.
Privacy Policy

Website developed by
moconnor interactive
1 . 9 7 3 . 8 2 3 . 8 2 3 1