Winter/Summer Camp - Student Application

User information

• First name
• Last name
• Email

Additional information

• Student name
• Student email address
• Parent or Guardian Name(s)
• Parent or Guardian email
• Mailing address of Parent or Guardian
• Phone # of Parent or Guardian
• Is a parent or legal gaurdian in the US Military or a veteran of the US Military?
• Select the winter/summer camp program date you are applying for.
• Other - Name of the group, name of youth leader, phone number of youth leader, summer camp name and dates of summer camp.