Hybrid Marsh-In Summer Camp 2022: APPLICATION
Parents or guardians, please fill out the information below for your campers applying for this year's summer camp program.

Annual Marsh-In Summer Camp: Monday, August 1st - Friday, August 5th.
- LIVE Zoom Sessions: Monday & Wednesday from 10:30am - 12:00pm.
- At-Home & Self-Guided: Tuesday & Thursday will consist of only self-guided, at-home activities, and all materials for camp activities will be provided to you in a camp kit!
- In-Person Session: Friday from 10:00am - 2:00pm. As of now, the Annual Marsh-In Summer Camp team is planning for Friday's camp session to take place in person at the Environmental Education Center in Alviso. This portion of camp may be subject to change. As COVID-19 continues to be an issue and community levels of transmission in some parts of the Bay Area are increasing, we are actively monitoring the situation and will place the safety of campers and their families first. If we cannot continue with plans for an in-person session, we will replace the session with an additional LIVE Zoom meeting and will keep parents and guardians updated as quickly as possible.

Campers must attend all three live (two virtual & one in-person) sessions and participate in all days of camp (see below for more information).

Padres o tutores, por favor llene la información abajo para sus campistas que solicitan el programa de campamento de verano de este año.

El Campamento de verano virtual "Marsh-In Camp": empieza el Lunes 1 de Agosto a Viernes 5 de Agosto.
Las sesiones de "Live Zoom" se llevarán a cabo el Lunes y Miércoles de 10:30 a. m. a 12:00 p. m. y Viernes de 10:00 am a 2:00 pm. El Martes y Jueves solo se realizarán actividades autoguiadas en casa. Los materiales para las actividades de campamento se le enviarán por correo en un kit de campamento! Los campistas deben asistir a las tres sesiones en vivo "Live Zoom" y participar todos los días del campamento virtual y en persona. (Para obtener más información, vea lo siguiente). A partir de ahora, el equipo del Campamento Anual "Marsh-In Summer Camp" está planeando que la sesión del campamento del viernes se lleve a cabo en persona en el Centro de Educación Ambiental "Environmental Education Center" en Alviso. Esta parte del campamento puede estar sujeta a cambios. Como el COVID-19 continúa siendo un problema y los niveles de transmisión en la comunidad en algunas partes del Área están aumentando, estamos monitoreando activamente la situación y priorizaremos la seguridad de los campistas y sus familias. Si no podemos continuar con los planes para una sesión en persona, reemplazaremos la sesión con una reunión adicional de Zoom EN VIVO "Zoom LIVE" y mantendremos informados a los padres y tutores lo más rápido posible.


***This form was created and is owned by San Francisco Bay Wildlife Society, the Refuge Friends Group. Privacy Statement: Your personal information is not shared with anyone except those internal to our organization when necessary for managing this program.
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Email *
Second Email Address: *
Parent/Guardian Name (First, Last) *
Camper #1 Name (First, Last) *
Grade entering in Fall 2022: *
Camper #2 Name (First, Last)
Grade entering in Fall 2022:
Clear selection
Camper #3 Name (First, Last)
Grade entering in Fall 2022:
Clear selection
Home Address (please include entire address: number, street, city, state, zip code) *
Mailing Address, if different from above.
Phone Number *
Alternate Phone Number
Have you attended Marsh-In Summer Camp before? *
Will your camper have reliable access to the internet during the LIVE Zoom meetings from 10:30am-12:00pm on Monday, August 1st and Wednesday, August 3rd? *
If "No," we will provide you a list of alternative ways to connect to the internet and/or alternative ways to access the content. We will reach out on an individual needs basis. *Please put additional information here if needed.
Will your camper be able to attend an in-person camp session on Friday, August 5th from 10am-2pm at the Environmental Education Center in Alviso, CA. *
If "No," we will do our best to provide an alternative option for your camper(s). *Please put additional information here if needed.
Are you committed to attending/participating in all 5 days of camp?
Clear selection
May we contact you about future events?
Clear selection
Is there any additional information you would like to provide?
Please write your name below, attesting that the information on this form is correct. *
Today's Date: *
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Privacy Act Statement
Authority: 5 U.S.C. 4101, et seq., Government Organization and Employee Training; 5 U.S.C. 1302, 2951, 4118, 4506, 3101; 43 U.S.C. 1457; Title VI of the Civil Rights Act of 1964 as amended (42 U.S.C. 2000d); Executive Order 11348, Providing for Further Training of Government Employees, as amended by Executive Order 12107, Relating to Civil Service Commission and Labor Management in Federal Service; 5 CFR 410, Subpart C, Establishing and Implementing Training Programs; Americans with Disabilities Act (42 U.S.C. 12101); and the E-Government Act of 2002 (44 U.S.C. 3501, et seq.).

Purpose: This information will be used by the San Francisco Bay Wildlife Society to administer an educational or training program on behalf of the U.S. Fish and Wildlife Service.  

Routine Uses: The information collected may be shared in accordance with the Privacy Act of 1974 and the routine uses listed in the Department of Interior System of Records Notices INTERIOR/DOI-16, Learning Management System, 73 FR 8342 (February 13, 2008).

Disclosure:  Furnishing this information is voluntary; however, failure to provide all requested information may prevent the youth from being able to enroll or attend the camp or training program.      

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