Which camp would you like to register for?

Quantity

Price

Total

Girls Camp 1 - Deposit Only

July 6-13 Brigader Rate Paying Deposit Only

X

$

40.00=

$

0

Girls Camp 1

July 6-13 Brigader Rate Paying in Full

X

$

320.00=

$

0

Girls Camp 2 - Deposit Only

July 20-27 Brigader Rate Paying Deposit Only

X

$

40.00=

$

0

Girls Camp 2

July 20-27 Brigader Rate Paying in Full

X

$

320.00=

$

0

OAC - Onaway Adventure Camp - Deposit Only

August 17-24 Brigader Rate Paying Deposit Only

X

$

40.00=

$

0

OAC - Onaway Adventure Camp

August 17-24 Brigader Rate Paying in Full

X

$

320.00=

$

0

Boys Camp 3

July 13-20 Brigader Rate Paying in Full

X

$

320.00=

$

0

Boys Camp 3 - Deposit Only

July 13-20 Brigader Rate Paying Deposit Only

X

$

40.00=

$

0

Final Total:

$

0

Camper Contact Information

Country*

Email*

Confirm Email*

Phone*

Parent/Guardian Information: This is used as emergency contact information and to better understand the families we serve. Please list information that is different than that which is listed in the Child information area above.

Parent/Guardian 1 Name

Parent/Guardian 1 Relationship to Brigade Member

Parent/Guardian 1 Address

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Home Phone

Parent/Guardian 1 Email

Parent/Guardian 1 Employer

Parent/Guardian 1 May we contact you regarding volunteer opportunities?

Parent/Guardian 2 Name

Parent/Guardian 2 Relationship to Brigade Member

Parent/Guardian 2 Address

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Home Phone

Parent/Guardian 2 Email

Parent/Guardian 2 Employer

Parent/Guardian 2 May we contact you regarding volunteer opportunities?

Demographic Information

By completing the following information, The Brigade is better able to understand the population we serve. All information in this application will be kept confidential.

Gender

Date of Birth

Annual Household Income

Is your child eligible for free or reduced school lunches?

Number in Household

Current Grade

Race

Ethnicity

Hispanic
Hmong

Camp Specific Information

Please note that we are not able to recognize all requests.

I would like to be in a tribe with:

Payment Information

Amount*

$

Card Type*

Name on Card*

Card Number*

CVV2*

CVV2 Information

Expiration Month*

Expiration Year*

Additional Comments

Security Code

Reset

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Which camp would you like to register for?

Quantity

Price

Total

Girls Camp 1 - Deposit Only

$

$

Girls Camp 1

$

$

Girls Camp 2 - Deposit Only

$

$

Girls Camp 2

$

$

OAC - Onaway Adventure Camp - Deposit Only

$

$

OAC - Onaway Adventure Camp

$

$

Boys Camp 3

$

$

Boys Camp 3 - Deposit Only

$

$

Final Total:

$

Camper Contact Information

Country*

State / Province*

Address*

City*

State / Province*

*

*

*

*

*

*

Email*

Confirm Email*

Phone*

Parent/Guardian 1 Name

Parent/Guardian 1 Relationship to Brigade Member

Parent/Guardian 1 Address

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Home Phone

Parent/Guardian 1 Email

Parent/Guardian 1 Employer

Parent/Guardian 1 May we contact you regarding volunteer opportunities?

Parent/Guardian 2 Name

Parent/Guardian 2 Relationship to Brigade Member

Parent/Guardian 2 Address

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Home Phone

Parent/Guardian 2 Email

Parent/Guardian 2 Employer

Parent/Guardian 2 May we contact you regarding volunteer opportunities?

Demographic Information

Gender

Date of Birth

Annual Household Income

Is your child eligible for free or reduced school lunches?

Number in Household

Current Grade

Race

Ethnicity

How did you hear about the Brigade?

I would like to be in a tribe with:

Payment Information

Amount*

$

Card Type*

Name on Card*

Card Number*

CVV2*

Expiration Month*