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Camp Ember Application

  1. Camp_Ember_final-logo_thumb.png

  2. Your Personal Information

  3. Parent / Guardian Information

  4. Adult Reference (Non-Family)

    Please provide an adult reference.

  5. Questions & Disclaimer

    Please answer the following two-part question in 500 words or less. We will not accept hand written response. You will not be scored on grammar or punctuation.

  6. Disclaimer:

    A sports physical will be required prior to attending camp. A sports physical obtained during the 2018/2019 school year will be accepted. If you have any conditions that may prevent you from passing the physical please provide a brief summary below and a Camp Ember representative will contact you.

  7. Do you have a financial hardship in obtaining a sports physical?*

    If yes, a Camp Ember representative will contact you regarding assistance.

  8. To complete your application you must complete a 'Letter of Interest'. Please go the the website at:


  10. Leave This Blank:

  11. This field is not part of the form submission.