student camp and trip advisors student camp referral summer

Teen Programs Information

Please provide the following information. A representative from Student Camp & Trip Advisors will call to discuss your child and his/her unique interests. We will forward to you brochures and videos on appropriate programs specifically chosen for your child from our portfolio of over 600 programs.

Name of Person filling out form:
Parent's Name:
Street Address:
City:
State/Zip Code:
Country:
Home Phone:
Parent's Business Phone
     Phone #1:
     Phone #2:
Cell Phone:
Email:

1st Teen's Information

First Name:
Last Name:
DOB:
School Grade:Public:    Private:
Gender:Female:    Male:
Length of Session
2 wk:   4 wk:   6 wk:     full session:
Budget per week:
Type of Teen Activity
Teen Camp
Cross Country Travel
Academic Enrichment
Language
    French
    Spanish
    Other
Wilderness
Community Service
Worldwide Touring
Semester Program
Live with a Family or with a Travel Group

2nd Teen's Information

First Name:
Last Name:
DOB:
School Grade:Public:    Private:
Gender:Female:    Male:
Length of Session
2 wk:   4 wk:   6 wk:     full session:
Budget per week:
Type of Teen Activity
Teen Camp
Cross Country Travel
Academic Enrichment
Language
    French
    Spanish
    Other
Wilderness
Community Service
Worldwide Touring
Semester Program
Live with a Family or with a Travel Group

NOTE: Student Camp & Trip Advisors will keep all information provided as confidential