District 7 Summer Youth Pre-Enrollment Form 2026

District 7 Summer Youth Pre-Enrollment Form 2026

Pre-enroll your organization for the Commissioner Henri E. Brooks Summer Camp Program. Complete all required sections below.
COMMISSIONER HENRI E. BROOKS
SUMMER CAMP PROGRAM
CAMP ENROLLMENT FORM
Organization Name
Summer Camp Coordinator
Organization Top Executive/Pastor
Person Responsible for Program
Camp Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Camp Street Address
Organization EIN
Date Camp Started

MonthDayYear
Date
Anticipated Camp End Date

MonthDayYear
Date
Number of Campers
Programs Offered
Other (1)
Other (2)
Other (3)
MSCS Food Bank Training Completion Date

MonthDayYear
Date
Shelby County Commission District
I certify that the information provided in this application is true and correct to the best of my knowledge and that our organization is responsible for the program described.
Certification Name (entity/organization)
Certifying Officer of Organization
Position
Certification Date

MonthDayYear
Date
Should be Empty: