In accordance with the Children's Online Privacy Protection Act, a person must be 13 years of age or older to complete and submit this form.

Please fill out & complete ALL fields.
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First Name:
Last Name:
Maiden Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:

What years were you at Eagle Hill?

Do you have children?

Child's name:   Birthday:   Male Female
Child's name:   Birthday:   Male Female
Child's name:   Birthday:   Male Female
Child's name:   Birthday:   Male Female

What are your fondest memories from camp?

Tell us a little bit about what you've been up to:

Can we include this information about you in the Alumni Notes section of this web site?
Yes No

Are you willing to share your contact information with other alumni?
Yes No

Are you interested in participating in the Alumni Advisory Committee?
Yes No

Are you planning on sending your children to Camp Eagle Hill this summer?
Yes No

If so, please provide us with their names and ages:
Child's name:   Birthday:  
Child's name:   Birthday:  
Child's name:   Birthday:  
Child's name:   Birthday:  

Would you like us to send you information about this summer¹s enrollment?
Yes No

11. Can you recommend anyone who may have children who are interested in attending Camp Eagle Hill?
Yes No

If so, please provide us with their names and phone numbers:
Name:   Phone number:  
Name:   Phone number: