2012 New London County 4-H Camp On-Line Registration Form
Registration ongoing throughout the summer! (Space permitting)
Campers full name:
Address:
Town: State: Zip Code:
Home Phone: Daytime/Work Phone:
E-mail (Required):
Age when attending camp: Date of birth (mm/dd/yy):
School grade in 09/2012:
Boy Girl
Returning Camper: yes no
Parent/Guardian's name:
How did you hear about our camp?: Friend Radio Newspaper Other
Parent/Guardian Signature:
Sign me up for the following week(s):
Deposit $200.00 (Full payment required with preseason & early bird specials) *Special Rates*
Early Bird and Preseason specials can not be combined with multi-session discount and are not available for the Clover Camp Two-Night Program.
$10.00 Discount applies for each multiple week
If paid in full by the following dates: SUPER PRESEASON SPECIAL ENDS OCT. 15TH: SAVE $129 OFF $439/WEEK 2012 RATE
Preseason Special: $50.00 Discount each week - Special ended December 22, 2011
Early Bird Special:
$20.00 Discount each week-Special ended April, 1, 2012
Email or call to ask our registrar about a new monthly payment plan! (860) 886-7476
Limited camperships are available! Call (860) 886-7476 or email nlc4hcamp@aol.com for details. Completed campership applications must be received by May 21, 2012.
2012 Campership Application
Session 1: $419.00 June 24-29
Session 2: $419.00 July 1-6
Session 3 July 8-13
July 15 - 20 (Operation Military Kids Only - Click here for brochure)
Session 5 July 22-27
Session 6 July 29-Aug 3
Session 7 Aug 5-10
Undecided-Pick before 5/1: $439.00
Total Deposit $ Minimum Deposit $200/week
July 15-20 (Operation Military Kids Only - Click here for brochure)
Total Deposit $
Minimum Deposit $200/week
Clover June 21 - 23
Minimum Deposit $175
4th Annual 4-H Goat Camp (Bring your own) - FIRST Session only (See activities page for more info): Session 1: 4-H Goat Camp Registration - Deposit $ Minimum Deposit $200/week
5th Annual 4-H Sheep Camp (Bring your own) - SECOND Session only (See activities page for more info) Session 2: 4-H Sheep Camp Registration - Deposit $ Minimum Deposit $200/week
Note: You do not need to have a 4-H Animal project to participate in sessions 1 and/or 2
Only eligible Operation Military Kids (Click here for brochure) may attend July 15 - 20 Session.
Payment:
NOTE: Registrations should not be submitted online for sessions on Friday and Saturday prior to each session's beginning. Please bring registration details on-site to the camp between 2 and 4 PM on Sunday. You will need a physician's signed health form completed within 2 years of camp attendance, and a copy of a current medical insurance card. Thank you!
All preseason/early bird specials must be paid in full prior to the deadlines.
Once you click on submit, you will be transferred to a secure online payment system.
Click here for a Camp health form
The New London County 4-H Camp is not responsible for lost personal belongings, including articles of clothing. Parents are encouraged to check "Lost and Found" prior to departure of each session. Thank you for your understanding.
Note: If you do not receive an e-mail confirmation within 48 hours of sending in this form, please call our registrar at (860) 886-7476 to confirm receipt. Thank you!
