2020 Summer Camp Application

Camper's Legal Name:

First *

Last *

Camper's Preferred First Name:

Sex Assigned at Birth *

Female
Male

Gender

Camper's Age at start of Camp

Entering Grade (in Sept. 2020) *

Birthdate *

Guardian's First Name *

Guardian's Last Name *

Relation to camper *

Contact Email *

Please use best email for all important Camp communication.

Contact Phone *

Phone, secondary *

Address *

Address Line 1

City

State

Zip Code

Special needs, limitations, or restrictions for campers

Are you applying for a need-based scholarship? *

Scholarships to Camp at The Center are based on need. Scholarships are given to children who otherwise would be unable to attend camp. Family income will largely determine the need for assistance. Not all campers will qualify. *Please note that scholarship funds are only available for residential camping programs. Farm Explorers and Extreme Farm Explorers do not qualify for financial assistance. (Click "NO" to return to application without applying for scholarship.)

To which Camp Type are you applying?

Farm Camp 12 Nights--Dates *

Camp Application Questions (to be answered by campers)

Why would you like to come to camp?

What would you like to learn/gain at camp?

Please comment on your emotional maturity:

If you know other camp applicants, please list those with whom you want to be with at camp this year:

Credit Cardholder's Name (exactly as on card)

Cardholder's First Name *

Cardholder's Last Name *

Camper's Full Name *

Cardholder’s Relation to Camper: *

Phone

Camper's Legal Name:

Camper's Preferred First Name:

To which Camp Type are you applying?

Camp Application Questions (to be answered by campers)

Credit Cardholder's Name (exactly as on card)

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