First Name:      Last Name: 
Parent's Email address: 
Age:                         Grade in School(2007-2008):  6 7 8 9 10 11 12 13
Height (inches): 

Street Address: 
City:      State:      Zip: 
Telephone: 

Roommate Request (maximum of 3):   
                                                            
                                                            

In case of Emergency, contact:
  Name: 
  Telephone (daytime): 
                   (evening): 

TRANSPORTATION     
 Will Camper require transportation?  Yes    No  Maybe
If Yes, please provide the following:
            Arrival:  BWI Airport    BWI Train Station
                          Flight/Train Number: 
                          Airline: 
                          Arrival Time: 

            Departure:  BWI Airport    BWI Train Station
                            Flight/Train Number: 
                            Airline: 
                            Departure time: 

               Travel information will be sent later

For information concerning transportation options for Campers, please follow Transportation link
  *** Please ensure travel arrangements correspond with Transportation Options *****
    

T-shirt Size:  Small Medium Large X-Large

Payment Method:   Check     Credit Card

Health/Insurance Information

Health Insurance Company: 
Policy Number:                   
Allergies to Medication:       
Additional Medical Problems/Information: