2022 - Camp Fresno Youth Interest Form

To indicate your interest in Camp Fresno Youth Camp, please complete the form below. We will contact you based on information you provide; please ensure your phone number and email address is correct. PLEASE NOTE: completing the interest form does not guarantee or reserve your child’s place at camp.

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* 1. Basic Info

Parent / Guardian Full Name *

Address *

Address 2 *

City/Town *

State/Province *

ZIP/Postal Code *

Parent / Guardian Email Address

Parent / Guardian Phone Number *

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* 2. Referred by

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* 3. Youth Camper Name(s)

Full Name of Child Camper 1

Full Name of Child Camper 2

Full Name of Child Camper 3

Full Name of Child Camper 4

Full Name of Child Camper 5

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* 4. Youth Camper(s) Birth Information

Birthdate of Child 1 - Date/month/Year

Birthdate of Child 2 - Date/month/Year

Birthdate of Child 3 - Date/month/Year

Birthdate of Child 4 - Date/month/Year

Birthdate of Child 5 - Date/month/Year

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* 5. Are there any special accommodations your youth would need in attending camp? If yes please describe.

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* 6. Does your youth have any allergies, food allergies, chronic illness, or medical conditions? If yes, please describe.

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* 7. Youth Camp sponsorship may be available to cover the cost of youth attendance. If interested in having your youth sponsored, please describe the nature of your need for sponsorship

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* 8. Camp Preference

I am interested in my camper(s) attending a three day camp.

I am interested in my camper(s) attending a one day camp.

I am open to my camper(s) attending either camp.

2022 - Camp Fresno Youth Interest Form

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* 1. Basic Info

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* 2. Referred by

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* 3. Youth Camper Name(s)

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* 4. Youth Camper(s) Birth Information

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* 5. Are there any special accommodations your youth would need in attending camp? If yes please describe.

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* 6. Does your youth have any allergies, food allergies, chronic illness, or medical conditions? If yes, please describe.

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* 7. Youth Camp sponsorship may be available to cover the cost of youth attendance. If interested in having your youth sponsored, please describe the nature of your need for sponsorship

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* 8. Camp Preference

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* 9. By typing your name below you agree that all of the above statements are true and accurate and that you are over the age of 18.