Camp OUT Registration 2018
Please fill out the form below to register for Camp OUT 2018! Space is limited—reserve your spot today!

Have your parent/guardian/family member nearby to provide important information on the final page of the registration form.

***Important information***

1. Camp OUT dates: Friday August 10th - Sunday August 12th
2. Camp OUT location: West Deer Pen, Mt. Madonna County Park, Watsonville, CA
3. Campers must stay on site for the duration of camp (no single day visits)
4. Welcome packets will be emailed to campers and parents/guardians/family members on July 11th
5. Parent/Guardian/Family Member signed permission is required in order to attend Camp OUT
6. Camp OUT is only for Middle and High School youth or Class of 2018 High School graduates (Ages 11-18)

Questions? Concerns? email Youth Program Coordinators Jamie Joy and Jonathon Salinas at:

youth@diversitycenter.org Or 831-425-5422 x104

Camper's Chosen Name *
Your answer
Camper's Legal First Name *
Fill out if different from above. We need this information in the event of an emergency. Your legal name will be kept private. For internal use only.
Your answer
Camper's Last Name *
Your answer
Camper's Pronouns
Your answer
Camper's Cell Phone Number (if none, type in "no phone") *
Your answer
Camper's Email *
Your answer
How old are you? *
Your answer
What school do you attend? *
Your answer
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