Camp Modin Established 1922 request brochure download enrollment form contact us heritage programs facilities modinites parents staff alumni Parents Camp Modin rests on the shoes of Salmon Lake, in the pristine Belgrade Lakes region of Central Maine, about 15 minutes' drive from both Augusta and Waterville. Request Brochure Please Provide us with information below to receive a brochure and dvd.

* = REQUIRED FIELD
First Parent/Guardian Information
Title:
*First Name:
*Last Name:
*Relationship to child(ren):
*Address:
*City:
*State/Province:
*Zip/Postal:
*Country:
*Home Phone:
Work Phone:
Cell/Mobile Phone:
*Email:
Second Parent/Guardian Information
Title:
First Name:
Last Name:
Relationship to child(ren):
Address:
(if different)
City:
State/Province:
Zip/Postal:
Country:
Home Phone:
(if different)
Work Phone:
Cell/Mobile Phone:
Email:

*We are exploring camp for the summer of:

First Child's Information
*First Name: *Last Name:
*Current Age: *Grade (Sept. 2008):
*Date of Birth: *Gender: Male Female
School:
Previous Camp Experience:
 Interests:

Second Child's Information
First Name: Last Name:
Current Age: Grade (Sept. 2008):
Date of Birth: Gender: Male Female
School:
Previous Camp Experience:
 Interests:

Third Child's Information
First Name: Last Name:
Current Age: Grade (Sept. 2008):
Date of Birth: Gender: Male Female
School:
Previous Camp Experience:
 Interests:

*How did you hear about Camp Modin?
Referral Service Website/Search Engine Camp Family Other

Additional Comments


Click the Submit button below to complete your request.