Chesapeake Family Magazine

Jefferson Communications | Chesapeake Family Magazine
929 West Street, Suite 210
Annapolis, MD 21401
410-263-1641
Fax 410-280-0255

Maryland Web Design | Vansant Creations

Thank you for listing your camp in Chesapeake Family magazine. This form can be used for either a Residential or Day Camp listing. Residential Camp Directory promoted in February and Day Camp Directory promoted in March
Please be aware the basic Listing is Free but does not include Premium Placement in Online Directory, live link, video or slideshow. Add those below to ensure your online presence.
Print Advertiser includes Print and Online listing
Premium Online Listing includes Print & Online listing as well as Expanded Online presence with your logo and link available all year long. ($50/mo.)
Premium PLUS Online includes Print & Online listing as well as Premium Online presence with your logo, link and flash/video slide show or ad available all year long. ($65/mo.)
Program Name (*)	Please tell us the name of your company/organization.
Sponsoring Agency
Contact First Name (*)	Please add a value for First Name.
Contact Last Name (*)	Please add a value for Last Name.
Contact Email Address (*)	is not a valid e-mail address.
Website
Phone Number (*)	Please add a value for phone number.
Winter Address
City
State
Zip
Summer Address
Age of Children:
Start and End Dates of Program:
Session Length
Please check the applicable Hours:	Residential/Overnight Full Day Half Day Less than half day
Is extended care offered for day campers?	Yes No
Is transportation available?	Yes No
Is financial aid available?	Yes No
Check one:	Coed Boys Only Girls Only
Camp Fees:
Top Five Featured Activities:
15 Word Description		May be edited for length
	Reservations confirmed upon receipt of payment and advertising contract, if applicable.