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Camp Zoo Online Application

Parent's Information

Parent's Name
Address
Town	State Zip
Email Address	Home Phone
Work Phone	Cell Phone

Child's Information

Child's Name
Address (if different)
Town	State Zip
Birthdate	Grade (Fall 2009)

Your Choice of Camp Week

July 12-16: For ages 4 - 9 years old
July 19-23: For ages 8 - 11 years old
July 26-30: For ages 4 - 9 years old
August 2-6: For ages 8 - 11 years old
August 9-13: For ages 4 - 11 years old

Comments

Cost per weekly session with tax are as follows

$375.00 for New Campers
$325.00 for Returning Campers
$245.00 for Junior Camp Zoo Counselors
Deposit with enrollment of $100.00 to hold your space.

Please call us with credit card information or send check and/or application to: Long Island Game Farm, P.O. Box 97, Manorville, NY 11949 Attn: Camp Zoo.

Type the code in the box below:


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