Bonanza Creek Science Adventure Camp Sign-Up 2024
This sign-up form is for the Bonanza Creek Science Adventure Camp  (Monday June 17 -- Friday, July 21, 2024). We will have an orientation on Saturday, June 15 and a Sharing Day on the evening of Friday, June 21. To participate, campers should be in care of the state (e.g., foster care, in the care of relatives, in a group home, or on a trial home visit) or recently adopted, and 10-16 years old.  

Don't quite meet the criteria? Sign up anyway and we will get back to you! Or call us (see contact info at bottom of form) to discuss your situation with us.
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Email *
Basic Information
First name *
Last name *
Gender you identify with *
Birth date *
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Background
Please let us know which of the following applies to you. If none of them do, tell us a bit about your situation so we can decide whether we can have you join us. All information supplied  is kept CONFIDENTIAL - only the Program Directors will ever see answers to this question.
Which of the following applies to you? *
If you ticked "Other", please describe your situation:
Contact Information
This information will help us get and stay in touch with caregivers
Name of foster parent(s), group parent, or other person whose care you are in *
Phone number of caregiver *
Email address of caregiver (if available)
Current address of camper *
Is there anything else you would like us to know or have questions about?
Is there anything else we need to know to be able to contact the camper and their caretaker? (e.g., anticipated move).
We're looking forward to seeing you this summer! If you have any questions, please contact Christa Mulder at cpmulder@alaska.edu, or by calling 907-750-1500. PLEASE SCROLL DOWN (SEE BAR ON RIGHT) AND HIT THE SUBMIT BUTTON AT THE BOTTOM OF THE FORM BEFORE EXITING!!!!!
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