Prospective Boy Information

Your Name (required)

Your Email (required)

Mailing Address:

Home Telephone Number

Work Telephone Number

Boys Name

Boy's Age (Should be at least 12 during the summer)

School Information:
Boys School: Class Placement:
Guidance Counselor:

Where did you hear about us?

Has the boy ever been away from home and family before?

Question/Comments/Additional Information