Information Request
Pok-O-MacCready Camps
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If you would like an informational catalog and DVD sent to your home, please submit this form with your contact information. Click here to DOWNLOAD AN APPLICATION.

The more completely you fill out the information, the better we will be able to serve you and your child.

Parent/Guardian Information

First Name
 

Last Name
 

Address
 

City
 

State
 

Zip Code
 

Country
 

Home Phone
 

Email
 

Referred by (if applicable)

Prospective Camper Information

CHILD

 

 

 

First Name
 

Last Name
 

Age
 

Date of Birth
 

Gender
 

Current Grade
 

General Interests (check all that apply using your CTRL key)

Special Interests (check all that apply using your CTRL key)

Session Length
 

Camp Season
 

Questions/Commen ts

 

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Pok-O-MacCready Camps, P.O. Box 397, Willsboro, NY 12996
800.982.3538  www.pokomac.com  info@pokomac.com