Family Camp Registration Form
 
Please Note: Use the "TAB" key to change fields
as pressing the "ENTER" or "RETURN" key will submit the form.


2011 Dates: Sunday, August 21st-1pm to Saturday, August 27th-12pm
Family Name
Email Address

Telephone Number

Years Attending Family Camp
Total number of guests in your party :  
Adults
Children (include ages with names below)
First names of those attending :  
   
Will you be registering for our Children's Program?

Please indicate additional items your family will require. (There will be an additional cost for some items)

  
High Chair
Booster Seat
Crib
Pack n' Play
Other
   
Special Needs
   
Dietary Needs (please be specific)
Specify
   
Housing Requests (please explain)
   
Health : Are all members of your party in good health?
If NO Please Explain
   
 

Deposit: $100 for each adult, $50 for each child over 3 years old.

Please print Family Name on check and mail to:

Louise Johnson
ARCADIA FAMILY CAMP
42 Goodwives River Rd
Darien CT
06820