Summer Programs Questionnaire

Please fill out this form completely. Items with an asterisk (*) are required.

Tell Us About Your Family

Paren't First Name

Parent's Last Name

City of Residence

Camper's Name

Programs You're Most Interested In

Please rate which programs you are MOST (1) or LEAST (4) interested in.

Week-Long Sleep Away Program 1 2 3 4

Weekend Sleep Away Program 1 2 3 4

Daily Program 1 2 3 4

Weekly Program 1 2 3 4

Choose Your Activities

Select all the activities you and your child would like to experience.

Acting/Film
Animation
Arts and Crafts
Camping
Cooking/Baking
Dance
Documentary/Film
Hiking
Journalism/Newspaper
Magic
Modeling
Music
Painting
Photography
Sports
Swimming
Travel
Video Games

Other

Image Verification

Thank You for Your Interest

Your submission has been sent.

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FACT Administrative Offices: 1637 Malcolm Ave. Suite 2 | Los Angeles, CA 90024 | Phone (310) 475-9620 | Fax (310) 470-3169

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