Application - Camp Chavaya

Camp Chavaya Camper Application
Please note: All questions must be answered. Please put N/A if not applicable.
Please choose which half you are applying for:*

First HalfSecond Half
Name*
Date of Birth*

MonthDayYear
Current School*
Current Grade*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Home Telephone*
Father's Name*
Father's Occupation*
Father's Email*
Father's Cell*
Mother's Name*
Mother's Occupation*
Mother's Email*
Mother's Cell*
Please list girls you are applying with if applicable*
Camp Attended Summer 2023*
Please provide 2 references: (Must be a principal or teacher)
Name*
Relationship to girl*
Phone*
Name*
Relationship to girl*
Phone*
Please list any food allergies or medical conditions*
Confirmation Email*
Date

MonthDayYear
I am hereby enrolling my child at Chavaya for the upcoming season. I am authorizing a deposit of $1,000 which which will go towards tuition of $4,650 or refunded if applicant is not accepted. The application will be processed only upon receipt of a $1,000 deposit. I understand that this application is subject to approval and availability.
Signature*

Clear
Please verify that you are human*

Payment Method*

ZelleCredit Card
Deposits should be made by Zelle to 443.789.8221 (Camp Chavaya). Your application will be processed once the payment has gone through. Thank you.

Camp Chavaya Camper Application