Name of camper (when attending) * Required

Approximate years of attendance at Long Lake Camp

Current last name, if different now

Mailing address :
City   State/Province   Zip
Country (if from outside USA) 
Note, mailing address is not required unless you wish to receive our brochure. Please include the city, regardless, so we may see where our alumni have found their place in life.

Home phone
Work phone

Email address

Present Occupation

The thing you remember most about Long Lake Camp

Any past staff or campers you would like to contact ?

Comments to Marc and Susan Katz?

Would you like a current brochure and video mailed to you? Yes No