Preliminary Camper Application
Email address *
Legal Name *
Your answer
Preferred Name
Your answer
Pronouns *
Required
Birth Date *
MM
/
DD
/
YYYY
Address *
Your answer
Email *
Your answer
Phone Number
Your answer
Parent Name *
Your answer
Parent Pronouns *
Required
Parent Address (if different from camper)
Your answer
Parent Email *
Your answer
Parent Phone Number *
Your answer
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