Teen Camp

Expression of Interest - Teen details

I am a:*
  • Heart Kid
Date of Birth*
Parent/Carer Name*
Parent/ Carer Contact Phone Number*
Country*
Email*
Confirm Email*
Phone
Please tell us in 50 words or less why you would like to attend Teen Camp.*
I have previously attended camp as a:
  • Camper
  • Camp Champ
  • I have not attended before

Please add the years you have attended camp below:

Additional Comments

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