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Home My Public Portal AboutCamp ApplicationTOWN OF BREWSTER 2198 MAIN STREET BREWSTER, MA 02631 PHONE: (508) 896-3701 EXT 1120 FAX: (508) 896-4538 BRHEALTH@BREWSTER-MA.GOV WWW.BREWSTER-MA.GOV OFFICE OF HEALTH DEPARTMENT RECREATIONAL CAMP LICENSE APPLICATION Camp name: Location: Site phone #: Owner(s): Owner(s) address: Phone #: Email address: Operator: Operator address: Phone #: Email address: Camp Director: Phone #: Email address: Capacity: #of campers expected: #of staff: Type of camp: Residential:___Day:___Primitive:___Travel:___Trip:___Special needs:___ Dates of occupancy: to Physician on Call: Phone: Address: Health Supervisor on duty: #of Sleeping Units: (Note: all must have occupancy permits) #of Toilets: Urinals: Sinks: Showers: Water supply: Public: Private: #of wells: Drinking fountains: Swimming Pool: Permit# Bathing Beach: Refuse removal: Commercial Haulers name: Food Permit #: Signature of Applicant: Date: