Camper Application
  Dear Campers and Camp High Hopes families Enclosed is the application for Camp High Hopes 2026. We have a lot of fun and exciting things planned for this coming year and look forward to seeing everyone again at Aldersgate in-person. Our planning team has been hard at work putting together some great activities this year. We are having applicants mail their applications to our medical director, Hope Woodcock-Ross at 82 Pixley Rd. Chenango Forks, NY 13746. Camp High Hopes 2026 is Sunday, July 26th to Saturday, August 1st! Arrive from 1 PM–3PM on Sunday, July 26th Pick Up from 10AM–12PM on Saturday, August 1st.  
Sign in to Google to save your progress. Learn more
Directors
Director, Darian Ross
(508)789-5256
dross@camphighhopes.org

Health Director, Hope Woodcock-Ross
(607)222-8412
Hope@camphighhopes.org
Camper Name *
Captionless Image
Age *
Parent/Guardian Name *
Home/Cell Phone(s) *
E-Mail *
Date of Birth *
Campers DOB
Name of the person picking up your child *
If your camper is being picked up by someone other than a parent/guardian we will ask to see photo ID for the safety of your child
Emergency Contacts
If we cannot reach you directly
Name *
Relationship *
Phone *
Name
Relationship
Phone
Name of Treatment Center *
Phone of Treatment Center *
T- Shirt Size *
Check one
Required
Sweatshirt Size *
Check one
Required
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report