Refer a Friend to Appel Farm

Every year Appel Farm welcomes new campers into the Appel Farm family, and year after year, our best source of new camp families is you…our current camp families and camp alumni. We so appreciate your help in spreading the word, and want to make it easy for you to let your friends know about Appel Farm! If you know of a young person who would benefit from the Appel Farm experience, please let us know who they are, and where they live so we can send them a packet of information. Upon receiving this form, an Information Packet, including a Brochure & Camp DVD, will be sent to your friend within 1-2 business days. Thank you for your referral! In accordance with the Children's On-Line Privacy Protection Act, a person must be 13 years of age or older to complete and submit this form. * - required
My Information
I am a:
If "Other Than Listed", please specify:
My Name*
First Last
Referred Family Information
Parent Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Day Phone
Evening Phone
Email
Referred Camper Information
Name (Camper 1):*
Birthdate:
MM slash DD slash YYYY
Interests:
Name (Camper 2):
Birthdate:
MM slash DD slash YYYY
Interests:
Additional Questions or Comments:

My Information