"The way you see people is the way you treat them, and the way you treat them is what they become." - Johann Wolfgang von Goethe
CAMPER’S INFO
Please select the Camp Session that your camper will be attending: *
Required
Camper’s Name (Last, First) *
Your answer
Camper’s Date of Birth *
MM
/
DD
/
YYYY
Gender *
Race/Ethnicity *
Camper’s School District (attending in 2021-22) *
Choose
Waco ISD
Axtell ISD
Belton ISD
Bruceville-Eddy ISD
China Springs ISD
La Vega ISD
Lorena ISD
Mart ISD
McGregor ISD
Midway ISD
Killeen ISD
Robinson ISD
Temple ISD
West ISD
Charter School
Home school
Private School
Other
If you selected “other”, then please specify the school district that your camper will be attending next year:
Your answer
Camper’s School Name (2021-22) *
Your answer
Camper’s Grade (2021-22) *
Does your camper receive Free/Reduced Lunch? *
T-Shirt (adult sizes) *
What are the TOP 3 challenges that your camper is facing? (ex: Giving in to peer pressure, absent father, low grades, poor conduct/behavior, low self-esteem, etc.) *