Participant Name *

First Name

Last Name

Parent/Guardian Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please select which week(s) you will be attending, *

It is $100 per week. Discounts available for multiple weeks!

June 26 - June 30

July 3 - July 7

July 10 - July 14

July 17 - July 21

July 24 - July 28

July 31 - August 4

August 7 - August 11

August 14 - August 18

Will you be paying by check or credit card? *

If you are paying by credit card, upon pressing submit on this form, you will be brought to our online payment portal. If you are registering additional family members or for multiple weeks, please call our office for payment. All checks can made out to The Fieldhouse and be mailed to our address, 2 South Winchester St. Swanzey, NH 03446. Checks must be delivered prior to or on the date of the camp.

Check

Credit Card