Application to Attend Camp Lilac
Please fill in this form if you are interested in attending Camp Lilac in Ohio, a camp for transgender youth ages 10-17. CITs 18-20 may also use this form. Please see our website at camplilac.org for more details!
Parent/Guardian Information
Will you be applying for financial aid?
Parent/Guardian 1
Name
Your answer
Preferred Name (if different)
Your answer
Email
Your answer
Relationship with Camper
Your answer
Phone Number
Your answer
Address
Your answer
Parent/Guardian 2 (If Applicable)
Name
Your answer
Preferred Name (if different)
Your answer
Email
Your answer
Relationship with Camper
Your answer
Phone Number
Your answer
Address (if different from Parent/Guardian 1)
Your answer
Camper/CIT Information
Name (legal)
Your answer
Name (preferred, if different)
Your answer
Pronouns
Your answer
Email
Your answer
Date of Birth
MM
/
DD
/
YYYY
Are you interested in:
Gender Identity (optional)
Your answer
Attraction Orientation (optional)
Your answer
What groups, clubs, programs, or jobs are you a part of at school or in your community? Why are they important to you, and what have you learned?
Your answer
Why are you a good fit for Camp Lilac?
Your answer
If admitted, what are you most looking forward to at camp?
Your answer
We value the safety and happiness of our campers highly. What does a positive and safe camp environment look like to you?
Your answer
What are some programs and activities you are excited for?
Your answer
Submit
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