In accordance with the Children's Online Privacy Protection Act a person must be 13 years of age or older to complete and submit this form. (Note: Use "TAB" Key and/or Pointer to Move Between Fields)
Parent First Name
Parent Last Name
Address
City
State
Zip Code
Home Telephone
Work Telephone
Email Address
CAMPER 1:
Name:
Age:
Gender:
Male
Female
CAMPER 2:
Name:
Age:
Gender:
Male
Female
How did you hear about Friends Academy Summer Camps?
Other:
Please feel free to ask any questions you might have:
