Camp BOLD Camper Application
Camp Fees:
 Weeks 1, 2, 3, and 4
$75.00 for The Arc NWMS members
$100.00 for non-members, which includes the $25.00 annual membership fee for The Arc NWMS.

Week 5 - Mini Week for Preschoolers
$55.00 for The Arc NWMS members
$80.00 for non-members, which includes the $25.00 annual membership fee for The Arc NWMS.

You will receive an email once your application has been received and processed by Camp Staff. This email will include confirmation of the information in your camper application, a link for payment and options for other ways to pay your camp fee.

Camper Applications are due by May 17, 2024.

Camp and membership fees must be paid by May 31, 2024, to hold your camper's spot for Camp BOLD 2024.
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Email *
Camper's First Name *
Camper's Last Name *
Camper's Date of Birth *
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Address (street) *
City *
State *
Zip Code *
Current age (as of today) *
Parent or Guardian's First Name (First Contact) *
Parent or Guardian's Last Name (First Contact) *
First Contact's Phone Number *
Parent or Guardian's First Name (Second Contact, if applicable)
Parent or Guardian's Last Name (Second Contact, if applicable)
Second Contact's Phone number (if applicable)
Additional Emergency Contact
T-Shirt Size of Camper (Select One) *
Captionless Image
Grade attending in school for the 24-25 school year, or best approximate level: *
What school will the camper be attending in the 24-25  school year? if not in school, please enter "none" or "homeschooled" *
Where does your camper spend their day during the summer when not in camp BOLD? (Examples: Full time day care, at home with a guardian, a day program, etc.)
*
Gender *
Ethnicity/Race *
Primary Language spoken at home *
Does the camper receive social security benefits? *
Session your camper would like to attend:
Cruise 1: June 3-7 (ADULTS) 1p - 4:30p
Cruise 2: June 10-14 (HIGH SCHOOL) 8:30a-12p
Cruise 3: June 24-28 (MIDDLE SCHOOL) 8:30a-12p
Cruise 4: July 8-12 (ELEMENTARY) 8:30a-12p
Cruise 5: July 16-18 (PRE-K) 9a-11:30a
*
Toileting abilities
Clear selection
Sensitivities that your child may have? Check all that apply
Feel free to explain sensitivities further:
How does your child communicate? Check all that apply
Additional information about your campers communication that may help the counselor connect with them:
Of these special interests, select the ones your camper enjoys the most
In your own words, what are your camper's 5 favorite things?
Medical Conditions of which camp staff needs to be aware 
Dietary Information/Food Allergies
What helps calm your camper?
What is one fun thing your camper is excited about this summer?
What is one fun or quirky thing about your camper that makes you smile?
Please describe your camper using your own words
Is there any additional information you would like to share?
Submit
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