Summer Camp 2025 Camper

First Name

Last Name

Camper Age & Grade Level?

Name of Parental Point of Contact and Email Address

Phone

(###)

###

####

Communication Preferences

Please enter if prefer text, video or voice calls

Why do you want your child to attend this camp?

How much of the camper tuition (fee) can your family contribute, if any?

Which school does the camper currently attend?

We ask for your camper’s current school to help us better understand our camp community and strengthen connections with local schools. This information supports future outreach efforts and helps us create more opportunities for campers and families.

Is there anything else you’d like us to know about your situation?

I certify that the information provided is accurate.

Yes

Consent & Acknowledgement

Yes, I understand that submitting this form does not guarantee a campership/ finacial assistance

No, I do not understand that submitting this form does not guarantee a campership and would like further information