11615 Hesby St. N Hollywood, CA 91601
Tel: 818-754-0312  FAX: 818-754-0842

       
 

Camper Pre-Registration

Any new or future camper is required to pre-register either online, by mail, or by phone. Use our electronic form below to let our office know you are interested.


Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Potential Camper Name:

Potential Camper Age:

Potential Camper Grade in School:

 



Copyright © 2006 Camp del Corazon. All rights reserved.
Revised: 03/04/07

 
Copyright 2006 Camp del Corazon Inc. All rights reserved