Be WISE Day Camp Application

Be WISE Day Camp Application

July 9 - 11, 2025
Be WISE is a STEM (Science, Technology, Engineering, and Mathematics) camp designed to engage and challenge girls entering grades 5 and 6 in the Fall of 2025. The camp is help at Philo Junior High School (225 Market St, Philo, Oh 43771).

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.

bewisecamp@gmail.com
Camper Information
Name*

First NameLast Name
Preferred first name to be used on the name tag *
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Birthdate *

MonthDayYear
Date
Present Grade in School
T-Shirt Size*
How did you hear about Be WISE Camp?

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

Internet Permission Slip

Be WISE Day Camp
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.

What photos/videos and how will they be used:

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 will receive a link that will be emailed 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 parents to sign the permission slip below.

Thank you,

Jessica Kuhner

Camp Director
I have read the material above and I give permission for my daughter to be included in the following photographs/videos:
Check all of the types of photos/videos that you are giving Be WISE Camp permission to use.

Be WISE Camp Website/AppGoogle Photos - For campers and guardians only

Payment Options

Payment is due by May 30, 2025
Select your method of payment.

Online Payment of $175.10 at www.bewisecamp.orgMailing in a check of $170
Please make checks payable to Be WISE Camp.

Mail to:

Jessica Kuhner

688 Brevard Circle

Pickerington, Oh 43147
Signature*

Powered by Jotform SignClear
Should be Empty:

Camper Information