1.Would your child be interested in participating in a day camp for gender diverse and gender exploring 5-12 year olds?

Yes

No

Maybe

2.Which time would be possible for your child to attend the camp?

Last week of July 2025

Fall Break (please specify)

Winter Break (please specify)

3.Which of the following describes your situation? Select all that apply

I plan to pay for my child's attendance

I'd be interested in volunteering & bringing a child to camp without cost

I'd be interested in helping fund a camp scholarship program

4.What would make camp attendance more likely for your family?

5.If you selected Fall Break or Winter Break, please specify the dates.

6.Your Name

7.At what email address would you like to be contacted?