School Year Program Request

Overnight Program Request for Students 5th Grade through College

School Year Program Request Form is for schools or group in need of a residential/overnight program. Minimum number of participants is 20 and the maximum is 56 participants. This form is required to be considered for available dates with SEACAMP San Diego. We are currently scheduling for Fall 2024 and Spring 2025, if you are interested in attending during this time please complete this form and we will be in contact soon.

Per the California Regulation all participants (students and adults) are required to provide a copy of their immunization records that include the date of their received last tetanus shot.

School Year Program Request Form

School Year Request Form

School/Group Information

School/Group Name

School District

School/Phone Number

Extension

School/Group Fax Number

School/Group Address

Address 1

Address 2

City

State/Province

Zip/Postal

Country

Group Leader Information

Personal Title Personal Title

First Name

Last Name

Profession Title

Email Address

Mobile Phone Number

If you are human, leave this field blank.

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School/Group Information

Group Leader Information

Program Information