2019 Camp Indigo Camper Registration
Camp Indigo is a summer day camp for transgender and gender expansive youth (and their allies) ages 4-12. Program will run June 17th-21st in North Berkeley!
What's your camper's name? *
Your answer
When is their birthday (including the year)? *
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DD
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YYYY
What pronouns do they use? *
Your answer
How would your camper describe their gender? *
Your answer
Is there anything we should know about how your camper likes to interact with adults or other youth? *
Your answer
Does your camper have any allergies or medical needs we should be aware of? *
Your answer
What size t-shirt does your camper wear (please note Youth or Adult)?
Your answer
Parent/Family/Guardian Information: What is parent #1's name? *
Your answer
Parent/Family/Guardian #1's Phone Number: *
Your answer
Parent/Family/Guardian #1's Email Address: *
Your answer
Parent/Family/Guardian Information: If applicable, what is Parent/Family/Guardian #2's name?
Your answer
If applicable, Parent/Family/Guardian #2's phone number:
Your answer
If applicable - what is Parent/Family/Guardian #2's email address?
Your answer
Is there any other adult you would like to list as a parent, guardian, emergency contact, or person responsible for picking up your child after camp?
Your answer
If applicable - please list additional adult contact information here:
Your answer
The official camp day runs from 9am-3pm. Do you anticipate needing before or after camp child care? If so, what are your ideal hours of care? *
Your answer
Camper registration is $400 for the week. We feel strongly that every young person who wants to come to camp should be able to do so without their family feeling burdened by the cost of our program. We are working hard to ensure that all families who need support are able to receive it, and scholarships will be based on a tiered system - 25% off, 50% off, and 75% off. That said, would you like to apply for financial aid? If so, what dollar amount feels most comfortable for you? *
Is there anything else we can do to ensure that camp is an incredible experience for both you and your camper(s)? *
Your answer
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