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School Year Program Request
Overnight Program Request for Students 5th Grade through College
School Year Program Request
Overnight Program Request for Students 5th Grade through College

School Year Program Request Form is for schools or group of 20 or more participants in need of a residential/overnight program. This form is required to be considered for available dates with SEACAMP San Diego. We are currently scheduling for Spring 2022. Complete School Year Program Request Form to receive additional program information and available date information.

School Year Program Request Form
School Year Request Form

School/Group Information

School/Group Address
School/Group Address
Address 1
Address 2
City
State/Province
Zip/Postal
Country

Group Leader Information

Program Information

Minimum 20 and Maximum 56
Student Grade Level
5th Grade - College
Program for
Select all that apply
Dates Must be
Select all that apply
Number of Days
Number of Nights
Dates you would prefer to attend
Are Dates Flexible?
Dates you would not be able to attend
Any additional information you would like us to know