2024 ASPYRE Interest Form
Thank you for your interest in attending the 2024 ASPYRE Leadership Sleepaway Camp sponsored by the LGBT Center of Raleigh! The camp is a leadership retreat for LGBTQ+ youth and allies ages 13-17, or 18 and still attending high school. Campers will learn a variety of skills that they will need to enact the change they want to see in their community. This camp also provides an opportunity for campers to network with other LGBTQ+ youth from across the state, make new friends, and get inspired about leadership.

All information on this form should be filled out for the camper interested in attending ASPYRE Leadership Camp.

Before you indicate your interest, please note that the camp will cover many sensitive topics that can potentially be triggering. We will make sure to sufficiently warn campers beforehand, but understand that this camp is designed to prepare young people to lead a community movement where it may not be possible to avoid for such topics. Parental permission for attendees under the age of 18 is required.

Additionally, note that this form is simply to indicate interest in the ASPYRE program and is not intended to stand in for camp registration. Indicating interest on this form also does not guarantee a place in the program. Our ASPYRE team is currently working very hard to iron out the details of the camp, so we are not able to give a date for the start of camp, camp location, or details of camp accommodations at this time. Once the ASPYRE team has everything planned out and ready to go, a registration form and more detailed information about the camp will be sent out via social media and email.

If you have any questions or concerns, please contact our Program Coordinator, Gwendolyn Love, at glove@lgbtcenterofraleigh.com

Thank you again for your interest in ASPYRE and we look forward to hearing from you!
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Have you previously attended ASPYRE? *
Last Name *
First Name *
Affirming Name *
What you want us to call you.
Pronouns *
(he/him, she/her, they/them, etc.)
Date of Birth *
Camper must be between the ages of 13 and 17, or 18 and still in high school at the time of the event
MM
/
DD
/
YYYY
Race and Ethnicity (select all that apply) *
Required
City *
State *
(i.e., NC, SC, VA)
Zip Code *
(i.e., 27601)
Phone Number *
XXX-XXX-XXXX (include your area code in your response)
Email (Parent/Guardian) *
Email (Camper)
If your camper does not have an email, please skip this question
How did you hear about ASPYRE Leadership Camp? *
(LGBT Center website, GSA/QSA, invitation from volunteer, teacher, counselor, etc.)
What would you want to gain from your experience at ASPYRE?
What are some accommodations you may need should you attend ASPYRE?
If there are none, please skip this question.
Will you require any financial assistance with paying your camp fees? *
Are you interested in being a camp counselor?
Clear selection
Do you have any concerns regarding the ASPYRE Leadership Sleepaway Camp?
If you have none, please skip this question.
Thank you for indicating your interest in ASPYRE Leadership Sleepaway Camp! Your response and feedback is very important to us.
Please stay tuned for updates and details regarding the camp. If there are any questions or concerns that you have, please contact our Program Coordinator, Gwendolyn Love, at glove@lgbtcenterofraleigh.com
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