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