$600 with lunch included. To pay in installments, select a payment option below or contact camps@goucher.edu.
1 payment of $600 2 payments of $300 * 3 payments of $200 * * Final installment is due no later than the first day of camp, July 11, 2022.
First name
Last name
Gender Female Male
Date of birth (mm/dd/yyyy)
Current school
Grade completed in June of 2022 Please choose 9 10 11 12
Does the student have any allergies? Yes No
If yes, explain
Is the student taking any daily medications? Yes No
Does the student have any special needs? Yes No
Phone
Email
Address
City
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip code
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I hereby give my consent for Goucher College to use photos or videos of my child for marketing purposes.
