Student Name *
Student Name
Student Phone Number *
Student Phone Number
Address *
Address
Parent or Guardian Name *
Parent or Guardian Name
Parent or Guardian Phone Number *
Parent or Guardian Phone Number
In answering, keep in mind that you will be acting as one member of a closely knit, efficient, social and educational group that will be camping and studying together. If you have had any camping experiences, group leadership responsibilities, first aid training, life saving training, swimming abilities, special educational interests or background, be sure to mention those here.