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Camp Ramaquois On-Line Request Form
Serving Bergen, Rockland, Manhattan, and parts of Westchester County!

Please Fill Out & Complete All Fields
Note: Use "TAB" Key and/or Pointer to Move Between Fields

I am requesting information for:

Full Session (8 weeks / June 27- Aug. 18)
7 Weeks (Any 7 weeks out of 8 / June 27-Aug. 18)
6 Weeks (Any 6 weeks out of 8 / June 27-Aug. 18)
First Session (4 weeks / June 27- July 22)
Second Session (4 weeks / July 25 - Aug. 18)
Counselor Apprentice Program (entering 10th grade / Full Session only)

First Name:      Last Name:
Address:
City: State: Zip:
Country:
Home Phone:      Work Phone:
*E-mail:
Child's Name
Date of Birth
Gender
School
Grade as of Sept 2012

Additional Comments or Information:

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Ramaquois


Camp Ramaquois is a day camp located in Rockland County, NY and serves boys and girls from Rockland, Bergen, Manhattan and Westchester counties.

Camp Ramaquois • Mountain Road P.O. Box D-1300 • Pomona, New York 10970