Camper Name *

First Name

Last Name

Parent/Guardian Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone Number *

(###)

###

####

Parent/Guardian Work Phone Number *

(###)

###

####

Parent/Guardian Cell Phone Number *

(###)

###

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

####

Camper Cell Phone Number *

(###)

###

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Camp, Room and Board *

$4,400 ***$500 discount will be applied on your invoice. expires 3/31/17 11:59:59pm EST***

Singe Room Upgrade

$400

Optional Camera Rental

$350

By checking the below box you are agreeing to the AAHSFF Doc Camp terms and conditions posted on this page. Please check that all requested information is complete. Upon submission of this form you will be sent an invoice for a $500 nonrefundable registration deposit due upon receipt. *

Agree