Camp Waldemar Application

Application for Admission
Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Current School Grade (If applicable)
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Earliest year camper is eligible to attend camp terms:
Short Term 1 (May): Summer before 2nd grade
Short Term 2 (July): Summer before 3rd grade
Long Term: Summer before 4th grade
The year you want your camper to enter Short Term*
The year you want your camper to enter Long Term*
Short Term Preference*

Short Term 1 (May)Short Term 2 (July)Either
Long Term Preference*

First TermSecond TermEither
Other Camps Attended
How did you hear about us?*
Please Specify
Parent 1 Name*

First NameLast Name
Parent 1 Occupation*
Is Parent 1's Address the same as the camper?*

YesNo
Parent 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 1 Cell Phone*
Please enter a valid phone number.
Parent 1 Email*
example@example.com
Marital Status*
Parent 2 Name

First NameLast Name
Parent 2 Occupation
Is Parent 2's Address the same as the camper?

YesNo
Parent 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2 Cell Phone
Please enter a valid phone number.
Parent 2 Email
example@example.com
Marital Status
References and other information
If Mother attended Waldemar, please provide her full maiden name, years as a camper, and tribe
If Grandmother attended Waldemar, please provide her full maiden name, years as a camper, and tribe
If Great-Grandmother attended Waldemar, please provide her full maiden name, years as a camper, and tribe
Name of sister(s) who attend or have attended Waldemar
Names and contact information of two references (please include phone number and address)*
Please note:

A $200 application fee is required to complete this application. This is a non-refundable fee which covers the cost of maintaining your daughter on the Waldemar waiting lists. Please keep your contact information current with us so we may contact you when your daughter is eligible to attend. Please note: acceptance or attendance in Short Term does not guarantee or lead to entrance to either First or Second Term. Please check the appropriate terms preferred for Long Term. Your acceptance depends upon your application date.

Application FeeCamp Waldemar Camper Application Fee

$200.00

Total

$0.00

Credit Card

Should be Empty:

Application for Admission

References and other information

Please note:

Credit Card