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2019 Brother Yusuf Campership Nominations
Deadline: January 15, 2019

All information requested is for camper nominee only unless otherwise stated, campers should have parental approval prior to submitting application.

Cody Ahrent, campership award winner 2016. Cody enjoyed fishing and learning about the environment so much that he would like to return to camp.
Camper's First Name
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Camper's Last Name
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Camper's Street Address
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Camper's State
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Camper's County
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Camper's Zip
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Camper's Email
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Confirm Camper's Email
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Camper's Age (min: 11, max: 17)
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Camper's Gender
Camper's School
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Parent or Guardian's Name
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Parent or Guardian's Phone
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Parent or Guardian's Email
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Please confirm Parent or Guardian's Email
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In your own words, tell us why you want to go to camp
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Have you ever been to camp before?
If yes, was it overnight or day camp?
Parent or guardian comments or input
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