Empower Camp Remix
Welcome to Empower Camp! We are excited that you are joining us for our first ever iteration of "Empower Camp Remix." Empower Camp Remix will add a new spin to our favorite camp activities to enjoy from home.

_____________________________________________

Please complete one registration form per camper.
We ask that out of courtesy for other campers, you only sign up if you can attend all three sessions for the program - August 8, August 13 and August 20.

Program Fee: Remix will be offered to a limited number of campers at no cost (a $100 value!).

Donations are always accepted to help with programming fees and cost of supplies. A $20 donation would help off-set some of the cost of the Remix program. While this is not required, all donations are greatly appreciated. If you would like to donate, you may do so via PayPal (www.empcamp.com/donate), venmo, cash or check made to 'Empower Camp'

For any questions during this registration process, please contact Sarah Bachwitz at sarah@empcamp.com or (716)906-2995.

_____________________________________________

Empower Camp exists to ignite the inner power of young women ages 13-18. While we wish we could be together in person this summer, we wanted to create a get-together that is safely distanced while being JUST AS FUN! Are you ready to REMIX?
Camper Name (First Name, Last Name) *
Camper Email Address *
Camper Street Address *
City, State, Zip Code *
Camper Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
What grade in school do you attend? *
What school do you attend?
How did you hear about Empower Camp? (Select all that apply) *
Required
Have you attended Empower Camp before? *
What is your experience with summer camp? *
What are some interests you enjoy? Ex: crafting, exercising, YouTube guru etc. *
What are you hoping to get from the Empower Camp Remix experience? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy