BURST OF MAGIC

BURST OF MAGIC

BURST OF MAGIC APPLICATION
Applicant Information
Camper’s Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
School*
Current Grade*
Father's Name*
Father's Occupation*
Father's Phone Number*
Mother's Name*
Mother's Occupation*
Mother's Maiden Name*
Mother's Phone Number*
Email (will be used for camp communication)*
Please upload a current photo*

Cancelof

Please list previous camps attended
July 2025*
August 2025*
July 2024*
August 2024*
YesNo
If yes, please list with whom you are applying

References

(Please include at least one High School teacher)
1. Reference Name*
1. Reference Phone Number*
1. Reference Relationship*
2. Reference Name*
2. Reference Phone Number*
2. Reference Relationship*

Payment Information
Camp Dates:

Trip 1: June 30th - July 14th

Trip 2: July 29th - August 12th

Camp Cost:

$3,100 per trip

(IMPORTANT: Price does NOT include airfare, transportation, and luggage.)
Trip 1Trip 2

I agree
An acceptance packet will be emailed to you upon determination of your acceptance status. Looking forward to a magical summer!
Any Questions?
Should be Empty: