Be WISE Residential Camp Application

Be WISE Residential Camp Application

June 14 - 19, 2026 at Muskingum University
Be WISE is a STEM (Science, Technology, Engineering, and Mathematics) camp designed to engage and challenge girls entering grades 7 and 8 in the Fall of 2026. The camp is held at Muskingum University and features STEM activities in all classes.

Once this application, teacher recommendation form, and payment have been received the guardians will get an email about the next steps. Please make sure you save the following email address so that you don't miss out on any important information.

This is NOT a scholarship application, this application must be completed to attend Be WISE Camp.

Contact Jessica Kuhner if you have any questions or concerns.

Email: bewisecamp@gmail.com

Phone: (330) 472-2269
Camper Information
Name*

First NameLast Name
Preferred first name to be used on the name tag *
Camper Email*
This email will receive a personality assessment from Jotform after the application is submitted. This must be completed by the camper.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Birthdate *

MonthDayYear
Date
Current Grade in School (2025-2026)*
Name of School*
T-Shirt Size*
Please list extracurricular school and community activities you participate in. *
What do you like to do in your spare time?*
How did you hear about Be WISE Camp?*

Parent/Legal Guardian

This will be the primary contact person.
Parent/Legal Guardian Name*

First NameLast Name
Relation*
Parent/Legal Guardian Email*
Camp confirmation will be sent to this email.
Parent/Legal Guardian Cell Phone Number*
Please enter a valid phone number.
Parent/Legal Guardian Home Phone Number
Please enter a valid phone number.
Parent/Legal Guardian Work Phone Number
Please enter a valid phone number.
Do you have another parent/legal guardian to add as a contact?*

Parent/Legal Guardian 2

This will be the secondary contact person.
Parent/Legal Guardian 2 Name

First NameLast Name
Relation 2
Parent/Legal Guardian 2 Email
Camp confirmation will be sent to this email.
Parent/Legal Guardian 2 Cell Phone Number
Please enter a valid phone number.
Parent/Legal Guardian 2 Work Phone Number
Please enter a valid phone number.
Parent/Legal Guardian 2 Home Phone Number
Please enter a valid phone number.

Teacher Information for Recommendation

Once this application has been submitted the teacher recommendation form will be emailed to the teacher you listed below. Please make sure that the email is correct and that you have their permission. You can not attend camp without a teacher recommendation form filled out.
Teacher Name*

First NameLast Name
Teacher Email*
example@example.com

Transportation
In Emergency situations, such as severe weather or medical needs, your camper could be transported by a Be WISE staff member.

Our insurance dictates that in order for us to transport your camper as stated above, we need the parents permission.
I have read the material above and I ________________ permission for my camper to be transported as stated above.*

Camper Expectations
Campers are expected to:
- Arrive on time for classes, meals, and evening all-camp activities.
  Participate in class and all-camp activities.
- Wear Name tag on shirt for all camp activities.
- Attend all “family” meetings.
- Treat Muskingum University facilities with respect—no careless or willful mistreatment of equipment and/or classrooms and dorm rooms.
- Remain with “family” group on campus at all times unless instructed otherwise: permission to leave an activity/class and/or “family” group must be received from the counselor or other administrative or teaching staff.
- Always walk on campus with another camper or staff member –never walk alone anywhere.
- Sleep in the assigned dorm room.
- You may change the temperature of the air conditioner window unit, but it cannot be lower than 68°.
- Refrain from possession and/or use of ANY FORM of drugs, alcohol, or tobacco products. All prescription drugs MUST be logged in with the Camp Nurse during registration.
- Be WISE camp has a zero tolerance for hate speech including but not limited to race, religion, and sexual orientation.
- HAVE FUN, MEET NEW FRIENDS, AND SUCCESSFULLY EXPERIENCE NEW EXPERIENCES.
Failure to abide by the above rules is grounds for expulsion from camp. Parents will be notified to arrange for camper transportation home. No refund will be given.
Camper Signature*

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Parent/Legal Guardian Signature*

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Camper Check-Out on Friday

For the security of your child, we will be asking to see your driver’s license at check-out.
If you are unable to pick your camper up at the end of camp and someone else will be providing transportation for her, we need your permission in order to release your camper to them.

Please inform the person listed below to be ready to provide their driver’s license at check-out.
If the Parent/Legal Guardians listed on this application will NOT (or might not) be able to pick up the camper. The person listed below has permission to pick up my camper.

First NameLast Name

Internet Permission Slip
As a STEM camp we try to incorporate as much technology as possible. While your daughter is at camp we will be taking photos/videos of every activity she participates in. The photos/videos are a way for the family to feel connected while their daughter is at camp.

What photos/videos and how will they be used:
- Throughout each day some of the photos/videos are used to post on Instagram and TikTok.
- Each evening some photos are used for the nightly parent email.
- Last day of camp we will take all camp photos, and family photos.
- At the end of the week all photos/videos will be dropped into google photos. Parents can purchase all of the photos for $10. A link will be emailed out after camp ends.
- Some photos will also be used on our website and app to help encourage more girls to attend the Be WISE Camp.
In order for us to be able to use these photos we need the parents to sign the permission slip below.
Check all of the different formats you are allowing Be WISE Camp to post your daughters picture.*

Instagram, Facebook, TikTok, and Be WISE Camp Website/AppGoogle Photos and parent nightly emailsNo photos/videos are allowed to be taken at all

Payment Options

Payment is due by April 30, 2026
Select your method of payment.

Online Payment of $643 at www.bewisecamp.org/online-payments (this includes a service charge for paying online)Mailing in a check of $625 (no service fee)Payment Plan (can only be mailed in by check)Applied for a scholarship with a different organization or branchApplied for a Be WISE scholarship at https://bewisecamp.org/scholarships
Checks/Payment Plan: Make checks payable to Be WISE Camp

Mail to:

Jessica Kuhner

688 Brevard Circle

Pickerington, Oh 43147
Parent/Legal Guardian Signature*

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Scholarship

This should only be completed if you filled out an application for a scholarship with another organization other than Be WISE Camp. This is NOT a scholarship form, it is just so we know who to contact about the scholarship you were offered or applied for.
Organization or Branch that is offering a scholarship for your daughter.*
Contact person from the organization/branch. *

First NameLast Name
Phone number of the person from the organization/branch.*
Please enter a valid phone number.
Email of the person from the organization/branch.*
example@example.com

Thank you for completing the Be WISE camp application. The teacher recommendation form will automatically be sent to the teacher you recorded.

The potential camper will receive an email with a personality assessment. This needs to be compelted for rooming purposes.

After the teacher recommendation has been submitted, your daughter will either be approved for camp, or denied. You will receive a notification through email from Jotform.

When approved, you will then need to complete the other forms sent from jotform.

FYI...our camp has a no cell phone policy. We want to make sure that the girls are embracing the entire camp experience and they are not distracted by the phone.

If you have any questions please contact Jessica Kuhner.

Email: bewisecamp@gmail.com

Cell Phone: (330)472-2269
Should be Empty:

Be WISE Residential Camp Application

Camper Information

Parent/Legal Guardian

Parent/Legal Guardian 2

Teacher Information for Recommendation

Transportation

Camper Expectations

Camper Check-Out on Friday

Internet Permission Slip

Payment Options

Scholarship