Tools4Life Registration Form
DIRECTIONS FOR APPLYING TO TOOLS
Please fill out the registration form and mail in your check payable to ANC:
Tools4Life Attention: Ali Durand P.O. Box 707, Bryn Athyn, PA 19009
To make a credit card payment call Admissions at (267)-502-2539
Health Forms must be filled out and mailed to Crystal Smith please see the link at ancss.org/tools
Questions: Contact Ali Durand at (267)-615-1528 or ali.durand@ancss.org
Email address *
Name of Camper (First and Last Name) *
Your answer
Camper's Cell Number
Your answer
Camper's Email
Your answer
Gender *
Graduation Year *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Home Mailing Address *
Your answer
T-Shirt Size *
Returning Camper
Dietary Restrictions/none *
Your answer
Father's Name
Your answer
Father's Cell
Your answer
Father's Email
Your answer
Mother's Name
Your answer
Mother's Cell
Your answer
Mother's Email
Your answer
Best Point of Contact in case of an Emergency (Include name and phone number) *
Your answer
Payment Options: All payments before March 1st are $550 check/ after March 1st tuition is $600. NOTE: Registration will not be completed until all forms are filled out and payment has been received! *
A copy of your responses will be emailed to the address you provided.
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