Monmouth - Home
About Activities Schedule Rates Contact
A Day Employment Photos News! Tax
Young People’s Day Camp
of Monmouth
Contact Us
  Director
Jason Lerman		 Phone
1-800-DAY-CAMP
   
 

Contact
Phone 1-800-DAY-CAMP
Alt Phone/Fax 732.333.0547
Cell 732.616.4903
Email Jlerm7@msn.com
Please feel free to contact us at the phone numbers and/or email above.
You may also fill out the below pre-enrollment form, so we may get your information accurately
Ready to Reserve weeks NOW! with
Use our On-Line Pre-Enrollment Application!

   
  Pre-Enrollment Form
 

Parents/Guardian Information

 
First Name:
 
Last Name:
 
Address:
 
City:
 
State/County:
 
Zip Code
 
Home Phone#
 
Work Phone#
 
E-Mail
 

Child's Information

  
Name:
 
Birthdate:
 
Grade/Fall:
 
Address:
 

Child # 2 Information

  
Name:
 
Birthdate:
 
Grade/Fall:
 
Address:
 

Child # 3 Information

  
Name:
 
Birthdate:
 
Grade/Fall:
 
Address:
 

Additional Comments and/or Information

  
Comments: