Camp Ford: Adventures in Leadership

APPLICATION

Sleep under the stars, see river otter, bald eagles, play volleyball, get to know others, get to know yourself, raft the legendary Klamath River, sleep on a beach, hike to Ukonom Falls, build a shelter, use a compass, learn the natural history of the area, eat great food, share stories by the campfire, find quiet time, make real decisions, help restore a trail, do a community service project. You will also sleep outdoors for a week, take cold showers, and help cook and clean and live without your cell phone and ipod.

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* 1. First and Last Name:

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* 2. Contact Information:

Address:

City:

State:

ZIP:

Cell Phone:

Phone Number:

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* 3. Email Address:

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* 4. Are you currently in 8th grade?

Yes

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* 5. Date of Birth:

mm/dd/yyyy

Date

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* 6. How did you learn about the camp?

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* 7. What issues or opportunities do you see in your community to make it a better place to live, study and play?

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* 8. What are some of the things you like to do (for example: hobbies, clubs, sports, family life, and personal interests) and that you'd like to share with other campers?

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* 9. Looking at the description and program overview, what most excites you?

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* 10. Looking at the description and program overview, where do you think you will be most challenged?

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* 11. Can you swim?

Yes

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* 12. Do you have any medical or physical conditions that would affect your ability to hike and raft?

Please submit two letters of reference. One must be from a teacher or principal, and the other can be from any adult, not related to you, and who has known you for at least a year. Forms can be downloaded at www.tfff.org/youthcamp and are due by May 17, 2010.