2026 Chica Camp Registration Form

Chica Camp Registration Form
This opportunity is for Chicas (ages 13 - 18) in greater Boston and Chica Project Alumni ONLY.

We are excited to have you to participate in our Chica Camp, which will take place from Tuesday, July 21st to Thursday, July 23rd, 2026 at the Oceanwood Camp (17 Royal Street, Ocean Park, Maine, 04063).

Chica Camp continues to grow each year, and this summer we’re building on everything that has made the experience so meaningful for our community. The Camp is designed to give our Chicas space to connect and step more fully into who they are becoming. Through shared conversations, dynamic activities, and moments of reflection, participants will leave with deeper friendships and a stronger sense of themselves and the community around them.

This three-day, two-night camp is a chance for Chicas to step away from their daily routines and spend time focusing on themselves and one another. Throughout the Camp, participants will take part in activities that support wellness, movement, reflection, and meaningful connection. It’s a space where young women of color can relax, build friendships, and grow together in a community that celebrates who they are.

Please review, complete, and sign the consent and waiver form below.

Deadline for enrollment is June 23, 2026.

SLOTS ARE LIMITED!

More information about the Chica Camp here
- Name
  
  First NameLast Name
- Preferred Name
- Pronouns
- Age
- Date of Birthday
  
  MonthDayYear
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Address
  
  Street Address
  
  Apt Number
  
  CityState
  
  Zip Code
- Race
- Ethnicity
- Dietary lifestyle, restrictions and/or allergies
- Medication(s)
- Have any physical, mental, and/or medical conditions or special accommodations that we should know? Please tell us what you are comfortable sharing which will allow us to support this chica to the best of our ability.
- T-Shirt Size
- Shoe Size
- Legal Guardian's Name
  
  First NameLast Name
- Legal Guardian's Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Legal Guardian's Email
  example@example.com
- Legal Guardian's Name (Additional)
  
  First NameLast Name
- Legal Guardian's Phone Number (Additional)
  Please enter a valid phone number.Format: (000) 000-0000.
- Legal Guardian's Email (Additional)
  example@example.com
- How did you hear about Chica Project?
- Emergency Contact's Name
  
  First NameLast Name
- Emergency Contact's Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Emergency Contact's Email
  example@example.com
- Relationship to Participant
- Waiver & Consent Form
  
  Permission to Participate and Transportation Authorization
  I, the undersigned parent or legal guardian, hereby grant permission for my child to participate in the Chica Project's Chica Camp, which will take place from July 21, 2026 to July 23, 2026, at the Oceanwood Camp (17 Royal Street, Ocean Park, Maine, 04063).
  
  I understand that Chica Project will coordinate and provide round-trip bus transportation to and from the camp site. By signing below, I authorize my child to be transported under the care and supervision of Chica Project staff and approved chaperones. I acknowledge that reasonable precautions will be taken to ensure the safety and well-being of all participants during transit.
  
  Authorization for Emergency Medical Treatment
  In the event of a medical emergency involving my child during the camp, I hereby authorize Chica Project personnel and its designated representatives to seek and obtain appropriate medical care, including, but not limited to, first aid, medical examination, hospitalization, anesthesia, or surgical treatment as deemed necessary by a licensed healthcare provider.
  
  I understand that every reasonable effort will be made to contact me prior to the initiation of any such medical treatment. However, if I cannot be reached in a timely manner, I authorize Chica Project staff to act on my behalf in securing appropriate care. I hereby release Chica Project, its employees, agents, volunteers, and any medical personnel or institutions involved, from any liability arising from the provision of emergency medical treatment.
  
  Acknowledgment of Risk and General Waiver of Liability
  I understand that participation in the Chica Project Chica Camp may include a variety of outdoor and water activities and physical engagements which involve inherent risks. These risks may include, but are not limited to, travel-related incidents, minor or serious injury, exposure to environmental conditions, and other unforeseen circumstances.
  
  By signing this form, I voluntarily assume all risks associated with my child’s participation in the camp, whether known or unknown, anticipated or unanticipated. I hereby release Chica Project, employees, volunteers, partner organizations, and the Oceanwood Camp from any and all liability, claims, demands, or causes of action arising out of or in connection with my child’s participation, including travel, lodging, meals, and any camp-related activities.
  
  Media Release Authorization
  I hereby grant permission to Chica Project to photograph, videotape, or otherwise record my child during the course of the camp. I understand that such recordings may be used for organizational promotion, educational outreach, fundraising initiatives, or public communications. This may include, but is not limited to, use on websites, social media platforms, printed materials, and presentations.
  
  I understand that no financial compensation will be provided for the use of these materials, and I waive any right to inspect or approve the finished product wherein my child’s likeness may appear. I release Chica Project from all claims, demands, and liabilities whatsoever in connection with the above.
  
  By signing below, I confirm that I have read, understood, and voluntarily agree to all terms and provisions contained in this Waiver, Consent, and Release Form.
- Signature
- Thank you for your continued support of Chica Project and your chica’s journey of leadership and self-discovery. If you have any questions or concerns, please contact Desiree Ruiz Ramoz at Des@chicaproject.org.
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