Springfield Township Recreation Presents:

Columbus Day Family Camping in the Park

Where: Juliustown Park
When: Setup 2:00 pm Sunday October 10, 2010
Packup : 9:30 am Monday October 11, 2010

• Limited to first 25 families - Applications must be submitted by October 1st.
• Children must be supervised by their parents at all times
• Tents only, no campers/RV’s
• No pets
• Camp-out will be canceled if there is inclement weather – check recreation website for notice

Please fill in all of following information and click the Submit button.

Number of Adults Participating:

Name of Adult (first and last) :

Name of Adult (first and last) :

Email address*:

Address:
             Street
             Street
             Town  ZIP    

Number of Children Attending:

Ages : Child # 1 Child # 2 Child # 3 Child #4 Child # 5

Comments or Other information:

Please remember this is a family event. No children are to be left unsupervised by their Parents.

*Please make sure you have entered a valid e-mail address.

Within 48 hours of submitting the form you will receive a confirmation with more details.