Boys to Men Basketball & Leadership Camp Application

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Welcome to our first Boys to Men basketball & leadership camp presented by DSGSH!

We at DSGSH recognize the need for Men in the community to give back to our youth, so we have launched a program that creates a safer space for young adults that live in high-crime neighborhoods to step outside of their environment and experience what it feels like to create camaraderie, in turn, positively impacts and strengthens our communities. Our goal is through connection, uplifting, education, guidance and support, participants will leave our camp with tools to effectively communicate, build relationships and learn ways to find common ground and solve conflicts without violence.

THIS APPLICATION MUST BE COMPLETED BY THE STUDENT! To apply for the Boys to Men Basketball & Leadership Camp. Please complete the required fields below.

Once submitted, DSGSH Team will review your application and notify you of your selection status. Upon selection, we will provide further camp details.

CAMP DATES: Friday, March 31, 2023 to Tuesday, April 4, 2023

Email *

Student Cell Phone Number *

First Name *

Last Name *

Who do you live with? *

Mother

Father

Both

Other:

Race *

African America

White

Native

Latino

Other:

Birth date *

YYYY

High school *

Grade *

Junior

Senior

Size shoe *

If you were able to choose one (1) of the three (3) shoe brands below, which one would you choose?

(Our goal is that everyone will receive shoes, but this is not guaranteed.)

LeBron's

Steph curry's

Kyrie irving's

Jersey size *

XXL

Other:

Each room has 2 bunk beds.

Are you ok rooming with players you don't know?

(It is not guaranteed that you will share space with the people you may know or are attending the camp with.)

Yes

Other:

We will be creating teams.

Are you ok playing on teams with players you don't know?

(It is not guaranteed that you will be on the same team with the people you may know or are attending the camp with.)

Yes

Other:

Pick 3 that interest you. *

Anger management and self control

Trauma cycle and healing

Self love vs Self Hate

Story telling

The Four agreements

Meditation and the importance of breathing

Anti - Racism unpacking your own racism against your own people of color

Required

Have you ever been shot and/or lost some one due to gun violence or suicide? *

Yes

What does the phrase "Boys to Men" mean to you? *

Please explain why you're interested in participating in this camp?
*

We will be providing meals for each camper, do you have any Dietary Restrictions?

If yes, please list them.

If not, please type "N/A"

Do you have any Medical conditions that we need to be aware of?

If yes, please list the conditions and any associated medications.

If not, please type "N/A"

PARENT/GUARDIAN INFORMATION:

Upon Application approval, your Parent/Guardian will receive a permission slip to their email address. Please provide those details below:

Parent First Name *

Parent Last Name *

Parent EMAIL address *

Parent Cell Phone Number *

A copy of your responses will be emailed to the address you provided.

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