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:---Upper ThirdMiddle ThirdLower Third Guidance Counselor:
Where did you hear about us?
Has the boy ever been away from home and family before? ---Yes (Weekends only)Yes (more than 1 week)No
Question/Comments/Additional Information
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