Parent/Guardian 1 First Name: Parent/Guardian 1 Last Name: Parent/Guardian 1 Address: Parent/Guardian 1 City: Parent/Guardian 1 State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Parent/Guardian 1 Zip: - Zip Suffix Parent/Guardian 1 Phone: Parent/Guardian 1 Email: Parent/Guardian 2 First Name: Parent/Guardian 2 Last Name: Parent/Guardian 2 Phone Number: Parent/Guardian 2 Email: Emergency Contact First Name: Emergency Contact Last Name: Emergency Contact Phone: Other comments or questions: Please specify your child's race/ethnicity: Caucasian African-American Latino or Hispanic Asian Native American Native Hawaiian or Pacific Islander Two or More Other/Unknown Prefer Not to Say Does your family qualify for free and reduced lunch? Yes No Not Sure Prefer Not to Say What is the primary language spoken at home? Do you live in a rural area? yes no no sure How did you hear about our camps?