Inquiry Form

Parent/Guardian Full Name*

First Last

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Mailing Address (if different from home)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Mobile Phone*

Email*

Prospective Camper Full Name*

First Last

Birth Date*

Sibling(s)

Other Camps Attended

Interests/Hobbies

How did you hear about camp O-AT-KA? (If referred, please list the name of the referral)

Camp session(s) of interest:

Questions?