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Request an Information Packet

If you would like more information about Camp Erin Philadelphia 2010, please complete the following request form and we will mail a comprehensive information and registration pack to you:


Parent/Guardian Name

Title: Mr.   Miss   Ms.   Mrs. 
First Name:
Last Name:

Mailing Address

Street Address:  
Apt. / P.O. Box / Suite:
City:
State:
Zip:

Phone / Email

Phone Number:
Email Address:
Re-Type Email Address:

Requested Number of Information Packets

Number of Packets:

Need an appointment? Request one online 24 hours/day, 7 days/week or call 800-789-PENN (7366) to speak to a referral counselor.