Camp Lohikan's
- Camp Literature Request Form -

Parent's First Name:

Parent's Last Name:

Mailing Address:

Street:

State:

Town:

Zip:

Country:

E-Mail:

Home Phone:

Work Phone:

Camper's First Name:

Camper's Last Name:

Camper's Age:

Camper's School Grade:

If there is more than one child interested in camp, please indicate their name, age and school grade:

Has your child attended day camp?

Has your child attended overnight camp?

Please select the session you desire.

How did you learn about Camp Lohikan:  (Please check all sources that apply.)

Search Engine?

Website Directory?

Other Source?

If you found about Lohikan through a friend, please indicate his or her name:

Person completing this form:

If "other" please explain: