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Kenzie's Camp
Camper Application 2025
All applications and forms are due by August 1, 2025!
Camper Application Form 2025
Camper's Full Name:
*
Camper's Date of Birth:
*
Diagnosis:
*
School Grade:
*
Address:
*
Sweatshirt Size: S/M/L/XL
*
T-shirt Size: S/M/L/XL
*
Parent/Guardian Full Name:
*
Parent/Guardian Phone Number:
Relation to Camper:
*
Emergency Contact: Y/N
*
Optional: Parent/Guardian #2 Full Name:
Optional: Parent/Guardian #2 Phone Number:
Relation to Camper:
Emergency Contact: Y/N
Address:
Pay In Full - $380
Check
Venmo @ChooseKindness
Pay Deposit Only - $120 Scholarship Recipients will be notified by August 4th, 2025.
*
Check
Venmo @ChooseKindness
Parent/Guardian Signature:
*
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Apply Now
Register Today!
Scholarship Application 2025
Camper's Full Name:
*
Camper's Date of Birth:
*
Address:
*
Parent/Guardian Full Name:
*
Parent/Guardian Phone Number:
*
Relation to Camper:
*
Address:
*
Please share with us why you wish to attend Kenzie's Camp:
*
Apply Now
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