Youth Sleepaway Camp Application

Youth Sleepaway Camp Application

Complete this form to apply for the 2026 youth camp.
Camp Dates: June 29 – July 2, 2026
Youth ages: 11 - 17
Location: St. Edward Retreat Center
Experience: Overnight sleepaway camp
Activities: Healing, recreation, leadership, and wellness
Priority: Eaton Fire-impacted youth
Transportation: Provided
Spots: Limited
Meals & lodging: Included
Supervision: Approved adult staff and volunteers
Note: Submission does not guarantee acceptance. Accepted families will receive additional forms and waivers.
This camp experience is designed to provide youth with a safe, uplifting, and restorative environment focused on healing, connection, recreation, and personal growth following the impacts of the Eaton Fires.
Camper Information
Camper's Full Name

First NameLast Name
Camper Age
Current Grade (2025-2026 School Year)
School
City
T-Shirt Size
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Meeting Acknowledgment
Organization Affiliation
Which organization are you applying through?

Other
How did you hear about camp?
Fire Impact & Family Needs
Was your family impacted by the Eaton Fires?
In what ways was your family impacted?

Other
Is there anything you would like us to know about your child or family circumstances as we review applications?
Should be Empty:

Youth Sleepaway Camp Application

Camper Information

Parent/Guardian Information

Organization Affiliation

Fire Impact & Family Needs