2019 Camp Brave Nomination Form
Camp Brave is a week-long overnight camp for youth ages 8-17 whose life has been impacted by crime. This may include being a direct victim of a crime or being the child of an adult who has been a victim of a crime. During their week at camp, campers will have the opportunity to experience all summer camp has to offer including swimming, sports and games, crafts, hiking, canoeing, rock climbing, and much more! Campers will also participate in a variety of activities developed to help them heal, grow, and develop coping skills.

Camp Brave is currently seeking nominations for their 2019 program! All accepted campers will attend on scholarship for only $25.00!

This year we will be hosting two sessions of Camp Brave so please note the appropriate date for the child you are nominating:

June 16-22, 2019: Ages 8-12
June 23-29, 2019: Ages 13-17

Nomination Deadline: Friday May 31, 2019

Please contact Owen (see below) with any questions or concerns.

Owen Ballard
Camp Hantesa
1450 Oriole Road
Boone, IA 50036
owen@campfireiowa.org
(515) 432-1417

Camper Name *
Your answer
Gender *
Your answer
Age *
Your answer
Mailing Address
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City
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State
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Zip
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Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Alternate Phone
Your answer
Nominator Name *
Your answer
Nominator Title/Relation to camper *
Your answer
Nominator Email *
Your answer
Nominator Phone: *
Your answer
Please use this area to tell us anything our staff should know about the child nominated for the program
Your answer
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