Camp Exclamation Point 2025 Camper Application

Section One

Camper Name *

Preferred Name/Nickname *

Identified Gender *

Pronouns *

Date of Birth * +

Grade in School (as of 1/1/25) *

T-Shirt Size *

School Name *

School Town *

Parent/Guardian Name *

Parent/Guardian Name

Street Address *

Street Address Line 2

City *

State *

ZIP Code *

Preferred Phone Number *

Phone Type *

Alternate Phone Number

Phone Type

Primary Email *

Alternate Email

Does this child and/or the family have a connection with farming/agriculture? *

Has this child attended camp before? *

Which other camp(s) and year(s) have they attended?

What is your child's primary spoken language? *

Do they need assistance communicating in English? *

If your child needs assistance with communicating in English, please describe:

Is this child receiving services from: *

Reach Up/3 Squares Case Number

CAMP! has an all-volunteer staff with diverse backgrounds and careers, but most do not have professional experience working with children. Campers must be able to transition between activities on their own, and they have an hour of “free time” every day. Our camp includes natural features that could be dangerous to a camper who is unable to manage their impulses or follow directions, including a lake, a ravine, acres of forest, and roads. We appreciate any information and guidance that you can give our volunteers in helping your child have a successful and fun week at camp.

Please share anything you think we should know so that we can best support your child, including:
• Have there been any difficult life situations which may be relevant to your child’s experience this summer, including those involving counseling?
• Does your child have any behavioral patterns that might pose a challenge at a residential camp with the natural features noted above? Could they be a danger to themselves or to others? If so, how do you and your child’s school manage those situations?
• Does your child require any other type of special assistance during the school day? *