Summer Camp Group Application

Fields marked with an asterisk are required.

Registration form for summer camp groups

First*

First Name
Last*

Last Name
Camp Organization Name*
Address*
City*
State, Zip*
Email*

Email address
Cell phone number, day of trip*
Office phone number*
Grade level of students attending*
Number of students attending*
Number of chaperones*

1 chaperone free with every 5 students
Will your camp be eating lunch in our classroom?*
- Yes
- No
Requested Arrival Date: Option 1 (Weekdays: June 6-Aug. 19, 2022)
Month
Day
Year
Requested Arrival Date: Option 2 (Weekdays: June 6 - Aug. 19, 2022)
Month
Day
Year
Requested Arrival Date: Option 3 (Weekdays: June 6 - Aug. 19, 2022)
Month
Day
Year
Requested Arrival Time*

Visit the Hershey Story Museum in Hershey, PA