Camp Captain Cares 2026

Camp Captain Cares 2026

A summer camp directed towards middle schoolers where they are able to explore volunteer opportunities and give back to their community. There is a limited number of spots available!
Who can attend?

Students going into 6th grade up to students going into 8th grade, who are associated with CAPTAIN CHS or who has been referred to the program by Shenendehowa Central School District professionals.
Dates

August 3-August 6 2026
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Name of Shen school your child attends:

Other
Grade your child is entering
Parent/Guardian Name

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

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does your child have any behavioral or medical concerns we should be aware of?
If yes, please describe:
Will your child need medication administered during camp?
I agree to fill out a medical form listing my child's allergies, behavior or medical concerns and medications they may need. (This will be sent out after applications are accepted.)
Shirt size: (children will be going on field trips every day, so they must pack their shirts with them!)

Other
My child can walk home from camp. (If no, someone must be able to pick them up daily.)
Cheryl's Lodge/CAPTAIN CHS sometimes use pictures/videos for promotional materials and on our social media. Do you consent to pictures/videos being taken of your child during camp for these purposes?
Camper's Ethnicity (This information is gathered as part of the Summer Food Service program which Cheryl's Lodge and Camp Captain Cares participate in. This information is used for data collection purposes only and your participation is fully optional)
Camper's Racial Identity (This information is gathered as part of the Summer Food Service program which Cheryl's Lodge and Camp Captain Cares participate in. This information is used for data collection purposes only and your participation is fully optional)
I understand that this application does not guarantee my child a spot in PEACE Camp. If my child is selected to participate, I agree to the following:

1. I will make every effort to have my child attend ALL camp days. This an essential commitment for our parents/caregivers and children.

2. I understand that if my child exhibits behaviors deemed to be unsafe, disruptive, or harmful, they may be asked to leave camp.

3. I give my child permission to participate in all activities of the program and to receive minor medical treatment if necessary.
I have read and agree to all the above
Should be Empty:

Camp Captain Cares 2026

Who can attend?

Dates