Marine Science Day Camp Registration Form
* Denotes Required Information
Child's Name (*)
Please give us the camper's name.
Age (as of (9/2013) (*)
Please let us know the child's age as of 9/12.
Grade Level (as of 9/2013) (*)
Please give us the camper's grade level as of 9/12.
Parent/Guardian Name (*)
Please give us the Parent/Guardian's Name.
Day Time Phone
Please supply a day time phone number.
Cell Phone (*)
Please provide a cell phone number.
Mailing Address (*)
Please supply the correct street address.
Town (*)
Please provide town.
State (*)
Please select a state.
Zip (*)
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Email Address (*)
Please provide a valid email address.
5th - 6th grades ($300.00 per child)

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7th - 8th grades ($300.00 per child)

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3rd - 4th grades ($240.00 per child)
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Amount Enclosed ~ Payable to NJSGC
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Camp Code (*)
Please call for a valid camp code.
*PLEASE NOTE: NO registration froms will be accepted without prior phone reservation and special camp code. Driving directions and camp guidelines will be sent prior to the beginning of your child's scheduled camp session.