Caps Camp Application 2019
Where: Camp Kanata, Wake Forest, NC

When: September 27-29, 2019. Meet at BHS big gym at 3:30 pm on Friday, September 27. Students should be picked up in front of big gym at 11:45 am on Sunday, September 29. You MUST be able to stay all weekend riding the school transportation.

Cost: $150.00, which covers meals (starting with dinner on Friday), lodging, materials, transportation, t-shirt, & chaperones. If you are unable to pay the full fee at this time, you may use a payment plan. Additionally, a limited number of scholarships are available for students who need them. Don’t miss this GREAT event because of money concerns – arrangements can be made.

Who Can Apply: Any Broughton student interested in developing leadership and making new friends.
To apply, complete and submit ALL of the following from September 17-19 before school (7:05-7:15), after school (2:20-2:45), or during either lunch period outside room 153. Incomplete/late forms and forms with no payment information attached will not be considered!
Part 1) This online application
Part 2) Parent Consent & Student Medical Information for School Trips Form (physical copies are available outside room 153 or can be printed from http://tinyurl.com/CC2019ParentalConsent) - turned into room 153
Part 3) Caps Camp Payment Form (physical copies are available outside room 153 or can be printed from http://tinyurl.com/CC2019PaymentForm) - turned into room 153 with your payment
If necessary, Part 4) If you'll have prescription medication during Caps Camp, also have your doctor complete this additional form and return to Ms. Jacqueline Stocks, school nurse, via fax (919.743.4763) or email (jacqueline.stocks@wakegov.com): physical copies are available outside room 153 or can be printed from http://tinyurl.com/CC2019Prescription
Caps Camp applicants will be admitted through a lottery system, NOT first-come first-served!
• Applications turned in on Tuesday will have a better chance of being accepted than those turned in on Wednesday or Thursday. We are reserving a certain number of slots for each grade, and we will have a balance of males and females.
• No applications will be accepted before 7:00 AM each day. (Students are NOT ALLOWED ON CAMPUS BEFORE 7:00 AM.) There is NO advantage to turning your application in before school starts each day – just an advantage to turning it in ON that day.
• If your application is NOT selected to attend, you can get your check/money order back. If you submit an application and IT IS CHOSEN, there will be NO REFUNDS.
• On Friday, September 20, the list of selected applicants will be posted outside room 153. It is YOUR responsibility to check this list to see if your name is there.
• For those applicants selected, there will be a MANDATORY informational meeting in the auditorium during your lunch on Wednesday, September 25. If you miss this meeting, you may not be eligible to attend Caps Camp. However if you are absent on the 25th, email Mr. Corsetti at dcorsetti@wcpss.net (Upon your return to school, you must show proof that this absence is excused.)
First Name *
Your answer
Preferred Name
Your answer
Last Name *
Your answer
Student ID Number *
Your answer
Grade *
Race/Ethnicity *
Your answer
Gender *
Your answer
Caps Class Teacher *
Your answer
A Day Lunch *
B Day Lunch *
Are you a vegetarian? *
Do you have other meal concerns or food allergies?
Your answer
Will you be bringing prescription medication to Caps Camp? If yes, have your doctor complete this additional form and return to Ms. Jacqueline Stocks, school nurse, via fax (919.743.4763) or email (jacqueline.stocks@wakegov.com): http://tinyurl.com/CC2019Prescription, physical copies are available outside room 153. *
Shirt size *
Your email (that you check) *
Your answer
Your cell phone number *
(you'll be added to a Remind list for Caps Camp info/updates)
Your answer
Parent/Guardian email *
Your answer
Best contact number for parent/guardian (before Caps Camp) *
Your answer
Name & relationship of emergency contact for September 27-29 *
Your answer
Phone number of emergency contact for September 27-29 *
Your answer
Favorite candy
Your answer
Three songs you want to hear at Caps Camp (school appropriate)
Your answer
Names of close friends who are applying to Caps Camp (up to 3)
Your answer
Activities in which you participate or are planning to join at Broughton
Your answer
Do you have any concerns about Caps Camp?
Your answer
READ THIS: Your application is not complete until you've submitted this online application AND turned in signed physical copies of both your permission form (available outside room 153 or can be printed from http://tinyurl.com/CC2019ParentalConsent) and payment form (available outside room 153 or can be printed from http://tinyurl.com/CC2019PaymentForm) to BHS room 153 before school, after school, or during lunch September 17-19. *
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