Summer Street Address:
Winter Street Address:
(mm/dd/yy) (Sept. 2021)
First Name M/F Date of Birth Grade School
Group my child with (list two names per camper).
We will try to accommodate you.
Camper #1 requests:
Camper #2 requests:
Camper #3 requests:
*A non-refundable deposit of $250 per camper due
*Add'l $1000 deposit per camper due by Dec. 1
Camper #4 requests:
*Balance due by March 1
*After Dec. 1
a $500 admin. fee per camper will
be withheld for any cancellations
Camper #5 requests:
Wednesday June 30
First day of Camp
Tuesday Aug 17
Last day of Camp (1/2 day)
Please charge my deposit of $250 per camper upon receipt
Please charge my additional deposit of $1000 per camper on Dec. 1st
Please charge my balance on
Other: Remit payment to 45 Norwood Ave, Deal NJ 07723
Billing Zip Code:
There is a non-refundable 3% processing fee for credit card payments.
As an alternative, we now accept payments through Venmo @campdavid
PLEASE TYPE YOUR NAME IN THE SIGNATURE FIELD TO COMPLETE REGISTRATION.