Forms & Links - Iroquois Springs - Rock Hill, New York Summer Camp


Please provide us with your emergency contact information for the summer. We keep the information on file in the event that we need to contact you.

Your e-mail address

Camper Information

Camper's first name
Camper's last name

Mother's Contact Information

Full name
E-mail address
Home phone	(e.g. 212-555-1212)
Work phone	(e.g. 212-555-1212)
Cell phone	(e.g. 212-555-1212)

Father's Contact Information

Full name
E-mail address
Home phone	(e.g. 212-555-1212)
Work phone	(e.g. 212-555-1212)
Cell phone	(e.g. 212-555-1212)

Emergency Contact Person Information (a friend or relative who knows how to contact you)

Full name
E-mail address
Home phone	(e.g. 212-555-1212)
Work phone	(e.g. 212-555-1212)
Cell phone	(e.g. 212-555-1212)

Emergency Contact Form