Hybrid Marsh-In Summer Camp 2023: APPLICATION
Hello Summer Camp Parents & Guardians,

We are so excited to welcome your campers back for another year of Marsh-In Summer Camp at the Don Edwards SF Bay NWR. This is the 44th year of free Summer Camp being offered to Bay Area youth entering Grades 1-6. 

We do want to note some significant changes to the hybrid camp schedule this year. Due to construction taking place at the Environmental Education Center in Alviso, camp has been relocated to Refuge Headquarters in Fremont at 1 Marshlands Rd, Fremont, CA 94555.** We understand that this may pose a transportation challenge for some campers and will be providing transportation from Santa Clara County for the in-person camp days. Additional changes are listed below! 

Parents and guardians, please fill out the information below for your campers applying for this year's summer camp program. Applications are due on June 9th and Summer Camp acceptances will be sent out by June 16th. Campers are chosen through a lottery system.

Annual Marsh-In Summer Camp: July 24th-28th.
Monday, July 24th - Virtual session via Zoom from 10:00am-12:00pm
Tuesday, July 25th - Self-guided, at-home activities and all materials will be provided to you in a camp kit!
Wednesday, July 26th - In-Person Camp day in Fremont from 10:00am-2:00pm
Thursday, July 27th - In-Person Camp day in Fremont from 10:00am-2:00pm
Friday, July 28th - In-Person Camp day in Fremont from 10:00am-2:00pm

Campers must attend all 4 sessions (one virtual & three in-person) sessions and participate in all days of camp (see below for more information).

Please reach out to summercamp@sfbayws.org if you have any questions. 

Si necesita una versión en español del formulario, puede enviarnos un correo electrónico a summercamp@sfbayws.org y le enviaremos un formulario en español.

**As COVID-19 continues to be an ever-present concern in our communities, we are actively monitoring the situation and will place the safety of campers and their families first. If, for any reason, in-person sessions are not possible, we would host additional LIVE Zoom meetings and will keep parents and guardians updated as quickly as possible.

***This form was created and is owned by San Francisco Bay Wildlife Society, the Refuge Friends Group. Privacy Statement: Your personal information is not shared with anyone except those internal to our organization when necessary for managing this program.
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Email *
Second Email Address: *
Parent/Guardian Name (First, Last) *
Camper #1 Name (First, Last) *
Grade entering in Fall 2023: *
Camper #2 Name (First, Last)
Grade entering in Fall 2023:
Clear selection
Camper #3 Name (First, Last)
Grade entering in Fall 2023:
Clear selection
Home Address (please include entire address: number, street, city, state, zip code) *
Mailing (Shipping) Address, if different from above.
Phone Number *
Alternate Phone Number
Have you attended Marsh-In Summer Camp before? *
Will your camper have reliable access to the internet during the LIVE Zoom meeting from 10:00am-12:00pm on Monday, July 24th? *
If "No," we will provide you a list of alternative ways to connect to the internet and/or alternative ways to access the content. We will reach out on an individual needs basis. *Please put additional information here if needed.
Will your camper(s) be able to attend all three in-person camp sessions on Wednesday, July 26th - Friday, July 28th from 10am-2pm at Refuge Headquarters in Fremont, CA? (If transportation for camper(s) is desired for attending the in-person sessions, those questions are coming next!) *
If "No," we will do our best to provide an alternative option for your camper(s). *Please put additional information here if needed.
The Summer Camp Team will be providing free bus transportation for families from San Mateo and Santa Clara County as needed. The bus will transport campers from San Jose to Fremont and back to San Jose. Parents/Guardians will be responsible for getting their campers to the bus pick-up and drop-off. Would you like to opt into this option?  *More information and official bus sign-ups will be provided for families by mid-June.  *
Are you committed to attending and participating in all 5 days of camp? *
The Summer Camp Team will be hosting additional free weekend events for families. May we contact you about future events?
Clear selection
Is there any additional information you would like to provide?
Please write your name below, attesting that the information on this form is correct. *
Today's Date: *
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Privacy Act Statement
Authority: 5 U.S.C. 4101, et seq., Government Organization and Employee Training; 5 U.S.C. 1302, 2951, 4118, 4506, 3101; 43 U.S.C. 1457; Title VI of the Civil Rights Act of 1964 as amended (42 U.S.C. 2000d); Executive Order 11348, Providing for Further Training of Government Employees, as amended by Executive Order 12107, Relating to Civil Service Commission and Labor Management in Federal Service; 5 CFR 410, Subpart C, Establishing and Implementing Training Programs; Americans with Disabilities Act (42 U.S.C. 12101); and the E-Government Act of 2002 (44 U.S.C. 3501, et seq.).

Purpose: This information will be used by the San Francisco Bay Wildlife Society to administer an educational or training program on behalf of the U.S. Fish and Wildlife Service.  

Routine Uses: The information collected may be shared in accordance with the Privacy Act of 1974 and the routine uses listed in the Department of Interior System of Records Notices INTERIOR/DOI-16, Learning Management System, 73 FR 8342 (February 13, 2008).

Disclosure:  Furnishing this information is voluntary; however, failure to provide all requested information may prevent the youth from being able to enroll or attend the camp or training program.      

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