LTSummer Emergency

Camper Information

First Name	Select age group for a list of available camps	Total	Actions

There are no Campers.

PARENT INFORMATION(Required)

First Last

Email(Required)

INSURANCE INFORMATION

Insurance carrier or plan name(Required)

Group #(Required)

Carrier Address(Required)

Name of Insured(Required)

Realtionship to camper(Required)

EMERGENCY CONTACT

Primary Contact(Required)

Relationship to Camper(Required)

Phone Number(Required)

Secondary Contact(Required)

Relationship to Camper(Required)

Phone Number(Required)

Total

Add Discount Code

Product Name

Price: $0.00

Payment Method

Please note: Payment in full holds your child’s camp selection. Payments other than credit card will delay confirmation of your child’s placement in camp.

Venmo @longtrailschool.org

Mail check to: LTSummer, 1045 Kirby Hollow Rd, Dorset, VT 05251

Credit Card

Cardholder Name

Card Details

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

News

LTSummer Emergency

LTSummer Registration

INSURANCE INFORMATION

EMERGENCY CONTACT