request
* - required fields

Personal Information

First Name *
Last Name *
Relationship to
Camper(s)
Address *
City *
State *
Zip *
Cell Phone
Home Phone *
Email Address *
   
 

First Camper Information

Camper Name
Grade Next September
School Attending
Male/Female
   
 

Second Camper Information

Camper Name
Grade Next September
School Attending
Male/Female
   
 

Third Camper Information

Camper Name
Grade Next September
School Attending
Male/Female
   
 

Additional Information

How did you hear about Gate Hill?
Special Interest/Concerns
 
   
 
 
 
 
Gate Hill Day Camp | PO Box 592 | Stony Point, NY 10980 | 845-947-3223    ©2008 Gate Hill Day Camp All Rights Reserved