American Academy of Etiquette, Inc.


	Summer Camp Details

2010 Chestnut Hill Summer Camp Registration Form
Ages 7-12 Boys and Girls
July 19-23 9am – Noon

Applicant Information
First Name
Last Name
M/F
Address
City
State
Zip
Home Phone
Date of Birth
Grade

Family Information
Parent Name
Work Phone
Cell Phone
Email

Parent Name
Work Phone
Cell Phone
Email

In case of emergency, if parent cannot be reached please contact

The American Academy of Etiquette, Inc.
PO Box 109
Wayne, PA 19087