Lake Scugog Camp Application

Name: ______________________________

Age: _________

Childs Name: ________________________

Childs age: ____

Address: ___________________________________________
Contact phone number: _______________________________
Email: _____________________________________________
Have you ever gone to camp before? ____________
Why do you feel that this will be a good experience for you and your child?

*must be 17 years old or older in July to apply

Completed applications are due Wednesday, June 19th. They can be
e-mailed to bonnie@jessiescentre.org, dropped off at Jessies or sent by fax.