First *
Last *
Gender
Camper's Age at start of Camp
Entering Grade (in Sept. 2020) * 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th
Guardian's First Name *
Guardian's Last Name *
Relation to camper *
Contact Phone *
Phone, secondary *
Special needs, limitations, or restrictions for campers
Total number of persons in household: *
List name and age of each person in household *
Total family income including wages, pensions, ADC, support, etc. *
Amount of camp tuition that your family is able to pay (MINIMUM CONTRIBUTION IS $125): *
Amount of scholarship aid requested: *
Please explain circumstances pertinent to your request for assistance: *
Please discuss why you desire that your child attend Camp at The Center this summer. *
Please choose Camp type: * Farm Camp (entering grades 4 - 7) 12 nights Farm Camp (entering grades 4 - 7) 5 nights Ranch Camp (entering grades 8 and 9) Senior Outdoor Leadership (entering grades 10 - 12) Outdoor Adventure for Teens (entering grades 8 and 9) Farm Explorers (entering grades 2 - 6) Extreme Farm Explorers (entering grades 3 - 7)
Please choose type of Camp * Farm Camp (entering grades 4 - 7) 12 nights Farm Camp (entering grades 4 - 7) 5 nights Ranch Camp (entering grades 8 and 9) Senior Outdoor Leadership (entering grades 10 - 12) Outdoor Adventure for Teens (entering grades 8 and 9)
Farm Camp 12 Nights--Dates * I June 21 - July 3 (12 nt.) II July 5 - July 17 (12 nt.)
Farm Camp 12 Nights--Choose Dates * I June 21 - July 3 (12 nt.) II July 5 - July 17 (12 nt.)
Farm Camp 5 Nights--Dates * IIIA July 19 - July 24 (5 nt.) IIIB July 26 - July 31 (5 nt.) IVA Aug. 2 - Aug. 7 (5 nt.) IVB Aug. 9 - Aug. 14 (5 nt.)
Farm Camp 5 Nights--Choose Dates * IIIA July 19 - July 24 (5 nt.) IIIB July 26 - July 31 (5 nt.) IVA Aug. 2 - Aug. 7 (5 nt.) IVB Aug. 9 - Aug. 14 (5 nt.)
Ranch Camp--Dates *All girls ranch camp sessions are now filled. Please check out the Outdoor Adventure for Teens program or email Amy at thechildrensfarm@sbcglobal.net to be added to a wait list. * II July 5 - July 17 (Boys 12nt.)
Ranch Camp--Choose Dates *All girls ranch camp sessions are now filled. Please check out the Outdoor Adventure for Teens program or email Amy at thechildrensfarm@sbcglobal.net to be added to a wait list. * II July 5 - July 17 (Boys 12nt.)
Senior Outdoor Leadership--Dates * I June 21 – July 3 (Girls 12nt.) II July 5 - July 17 (Boys 12nt.) IV Aug. 2 – Aug. 14 (Girls 12nt.)
Senior Outdoor Leadership--Choose Dates * I June 21 – July 3 (Girls 12nt.) II July 5 - July 17 (Boys 12nt.) IV Aug. 2 – Aug. 14 (Girls 12nt.)
Outdoor Adventure for Teens--Dates * IV Aug. 2 – Aug. 14 (Girls 12nt.)
Outdoor Adventure for Teens--Choose Dates * IV Aug. 2 – Aug. 14 (Girls 12nt.)
Farm Explorers--Dates * IA June 22 – June 26 IB June 29 – July 3 IIA July 6 – 10 IIB July 13 – July 17 IIIA July 20 – July 24 IIIB July 27 – July 31 IVA Aug. 3 – Aug. 7 IVB Aug. 10 – Aug. 14
Extreme Farm Explorers--Dates * IA June 21 – June 26 IIA July 5 – July 10 IVA Aug. 2 – Aug. 7
Why would you like to come to camp?
What would you like to learn/gain at camp?
Please comment on your emotional maturity:
Please comment on your horseback-riding ability:
Please comment on your outdoor skills:
Please comment on your outdoor living skills (camping, building campfires, hiking, canoeing) and your leadership experience:
If you know other camp applicants, please list those with whom you want to be with at camp this year:
Cardholder's First Name *
Cardholder's Last Name *
Camper's Full Name *
Cardholder’s Relation to Camper: *