Guest Checkout

Browser out of date.

It appears you're running an older web browser that we're unable to support. If you would like to view the site you'll need to update your browser. Please choose from any of the following modern browsers. Thanks!

Calling all Past Campers and Staff!

Please complete the form below as we are updating our files.

SHARE with all your friends and family that have attended/worked at Camp Burgess & Hayward as all are invited to the party of the century!

Let us know if you are interested in joining the committee to plan for our 100th birthday celebration held October 2028.

Questions? please contact: Bruce Netherwood, [email protected].

If you reside outside the United States, please select your country from the "Country" dropdown at the bottom of the address section before entering your address information.

I am an

Individual

Organization

Organization Name*

First Name*

Last Name*

Phone Number*

Email*

Birth Date*

Address line 1*

Address line 2

City*

State*

Zip*

Zip extension:

Country*

Address type*

Today's Date*

Please enter today's date

Maiden Name

Maiden Name if applicable

What is your connection to camp?* I was a camper at Camp Burgess
I was a camper at Camp Hayward
I was a camper for Adventure Trips
I was staff at Camp Burgess
I was staff at Camp Hayward
I was staff for Adventure Trips

What "era" did you participant as a camper or staff?* 1940's
1950's
1960's
1970's
1980's
1990's
2000's
2010's
2020's

Please check off applicable years

Did you have family members who attended or worked at Camp Burgess or Hayward?*

Yes No

If you checked off yes to family members who attended or worked at camp, please enter their name and email address

Are you still in contact with camp friends?*

Yes No

If you checked off yes to still in contact with camp friends, please enter their name and email address

Tell us about the impact camp had on your life?

How likely are you to attend a 100th Anniversary of Camp Burgess in October 2028?* 1 - Yes
2 - Very likely
3 - Not sure‚ but will let you know
4 - Very unlikely
5 - No

Please rate your possibiltiy above

Comments

Payment Method

Credit Card

ACH (Bank Account)

This is a preview and checkout cannot be completed.