Military Teen Adventure Camp Registration 2025

Military Teen Adventure Camp Registration

W.E. Skelton 4-H Educational Conference Center at Smith Mountain Lake
July 21-25, 2025

$40 per participant (non-refundable)
Camper Information
Camper’s Name*

First NameLast Name
Birth Date*

MonthDayYear
Age as of July 22, 2024*
Gender*

FemaleMale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shirt Size (adult sizes)*

SmallMediumLargeXL2XL3XL
Does the camper have any dietary needs/restrictions, allergies, chronic illness, or medical conditions? If yes, please describe.*
List any information we as staff should be aware of to help your camper thrive at camp. *
Roommate Request (we will do our best to accommodate roommate preferences based on numbers and lodging, but we can not guarantee availability)
Parent/Guardian Information
Name*

First NameLast Name
Home Number*
Cell Number*
E-mail*
example@example.com
Branch of Military*
Status*
Transportation

Transportation to/from camp is not provided (if your camper is flying into Roanoke or Lynchburg a shuttle will be coordinated to/from the airport). A stipend travel reimbursement is available for families upon request. Participants arriving by car may receive a travel allowance of up to $200 per family for roundtrip travel. Flight reimbursement is prioritized and distributed at 50% of the cost for roundtrip airfare.

Grant funds for travel reimbursement will be distributed via check upon pick-up from camp on Friday, July 25th. Funds will be prioritized based on method of travel, with priority given to those flying in. Limit of one travel stipend per family, excluding those with multiple campers flying in.
How will you be getting to camp?*
Will you be requesting travel reimbursement?*

My Products

Teen RegistrationNon-refundable registration fee

$40.00

Total

$0.00

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Military Teen Adventure Camp opportunities are the result of a partnership funded by the Department of Defense between the Office of Military Family and Community Policy and the USDA’s National Institute of Food and Agriculture through a grant/cooperative agreement with Purdue University. Funding made available via award numbers 2023-48703-41193.

Virginia Cooperative Extension is a partnership of Virginia Tech, Virginia State University, the U.S. Department of Agriculture, and local governments. Its programs and employment are open to all, regardless of age, color, disability, sex (including pregnancy), gender, gender identity, gender expression, national origin, political affiliation, race, religion, sexual orientation, genetic information, military status, or any other basis protected by law.

If you are a person with a disability and desire assistance or accommodation, please notify Rayna Wheeler at 540-721-2759 x253/TDD* during business hours of 8:30 AM to 4:30 PM.
*TDD number is 800-828-1120.
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Military Teen Adventure Camp Registration

July 21-25, 2025

Camper Information

Credit Card