Camp Fair Inquiry

Potential Student Information

*First Name
*Last Name
*Curent Age
*Gender
*Phone
*Email

We offer a range of programs for both high school and college students.
Please tell us which program(s) interest you.
*Which program interests you the most? ActionQuest Teen Adventure
Lifeworks Teen Community Service

Did you pick up a brochure at the fair?

Yes No

Did you pick up a brochure at the fair?

Yes No

*Do you have an interest in any other programs that we offer? Yes No
Which program?

ActionQuest Teen Adventure
Lifeworks Teen Community Service
Sea|mester Gap Year and College Study Abroad


*Are you the parent / guardian of the above student? Yes No

Parent / Guardian Information

Title
First Name
Last Name
Email

*Do you need us to send you any brochures in the mail? Yes No

Please enter your mailing address so that we can mail you the brochure
Street
City
State/Province
Zip/Postal Code