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Liquid Camp 2025 - Youth Outdoor Camp Application
Summer 2025 Youth Outdoor Experience with Healing Waters Wilderness Adventures
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Expose your youth to the outdoors in a safe environment!
Youth will stay within their comfort range!
Empower your youth!
Youth's and Parent's Information
Application Deadline is: Monday, June 16, 2025
Register early and beat the deadline!
Liquid Camp tuition is $275 for youth and $125 for parents or guardians and includes classroom materials, on-river weekend training, raft gear, camping gear, and camp meals.
Youth's Full Legal Name
*
Your answer
Youth's nickname or preferred name
*
Your answer
Youth's Pronouns
*
Your answer
Youth's age
*
7 yrs old
8 yrs old
9 yrs old
10 yrs old
11 yrs old
12 yrs old
13 yrs old
14 yrs old
15 yrs old
16 yrs
17 yrs
Other:
Youth's comfort level in water?
*
Your answer
Parent's Full Name
*
Your answer
Parent's Email Address
*
Your answer
Parent's Cell Number
*
Your answer
Youth's Cell Number (if applicable)
Your answer
Your Mailing Address
*
Your answer
Emergency Contact #1
*
Name, Email, Phone...and what is their relation to you & or youth?
Your answer
Emergency Contact #2
*
Name, Email, Phone...and what is their relation to you & or youth?
Your answer
Liquid Camp - July 2025 Calendar
Application Questions
How did you hear about Healing Waters Liquid Camp?
Your answer
Tell us why you wish your child to attend this program?
Your answer
Briefly describe any outdoor experience your child has
Your answer
What type of physical activities does your child participate in now and how often?
Your answer
Does your child have any physical limitations or health issues that may prevent them from sitting in a boat in moving water (class I & class II current)?
Your answer
Briefly describe, if any, goals you wish for your child.
Your answer
Will a parent or relative attend Liquid Camp with the youth?
Your answer
Will this adult stay in camp? Or would they like to attend on-water activities?
Your answer
Name & contact info of adult joining Liquid Camp (if different than above)
Your answer
Is there an adult attending that can help with preparing meals or shuttling the group to and from camp and/or the aquatic locations?
Your answer
Any Dietary Restrictions?
Your answer
Any physical or mental health issues?
Any issues Healing Waters, the director or medic should be made aware of?
Your answer
Does your youth need transportation from the Bay Area?
Yes
No
Maybe
Clear selection
If transportation is needed, from where exactly?
SF? East Bay? North Bay? Peninsula?
Your answer
I am requesting scholarship assistance
Select all that apply...
I''m requesting a scholarship for my Youth
I'm requesting a scholarship for the adult chaperone
I am requesting scholarship assistance in the amount of:
Select scholarship request amount:
$50
$75
$100
$150
Other:
Zoom Log-in Info
For "Q & A" - June 9th
&
"Meet the Campers" - June 30th
WILL YOU ATTEND OUR ZOOM MEETINGS?
Liquid Camp & Healing Waters is inviting you to a scheduled Zoom meeting.
Topic: Liquid Camp Zoom Meetings (7:00 p.m.)
Join Zoom Meeting
https://us02web.zoom.us/j/87590179381?pwd=YXlHTnRuY1YwbzNwMmEyOVJRT1A0UT09
Meeting ID: 875 9017 9381
Passcode: 920137
Click all answers that apply:
Maybe
Yes, Q&A Zoom - June 9th
Yes, "Meet the Youth & Family" - June 30th
No, can't make those dates
No, but we'll be attending camp!
We need to talk with camp organizer directly!
Submit
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