2021 Session 1 – Camper Information

2021 Session 1 – NAD YLC Camper Information

Deadline: January 1, 2021.

We are asking our accepted campers to fill out this form, so we have updated information about the camper in our database. Thank you.

Camper Information
Camper's Full Name * Required
First Middle Last
Camper's Preferred Name * Required
Camper's Preferred Pronouns * Required
Camper's Email * Required
Camper's Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Camper's Phone Number * Required
Camper's Phone Type * Required
Camper's Birthday – must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Camper's Gender * Required
This is required because we need this information for bunking placements (cabins). If you are unsure how to answer this question, please do contact us at [email protected]
Camper's Race/ Ethnicity * Required
Camper's Unisex T-Shirt Size * Required
Dietary Restriction * Required
Dietary Restriction: Tell us more * Required
School Information
Is the Camper a Jr. NAD Member? * Required
Camper's School's Name * Required
Camper's Current Grade * Required
School Principal's Name * Required
First Last
School Principal's Email * Required
Jr. NAD Advisor's Name
First Last
Jr. NAD Advisor's Email
Parents/ Guardians Contact Information
#1 Parent/Guardian's Name * Required
First Last
#1 Parent/ Guardian's Email * Required
#1 Parent/Guardian's Phone * Required
#1 Parent/ Guardian's Phone Type * Required
#1 Parent/ Guardian's Address is the same as Camper's Address? * Required
#1 Parent/ Guardian's Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
#2 Parent/ Guardian's Name
First Last
#2 Parent/ Guardian's Email
#2 Parent/ Guardian's Phone
#2 Parent/ Guardian's Phone Type
#2 Parent/ Guardian's Address is the same as the Camper's Address?
#2 Parent/ Guardian's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
As YLC plans for an in-person camp experience this summer, all precautions to prevent the spread of COVID-19 must be taken. We are requiring all campers to show proof of having taken the COVID-19 vaccine. Applicants must indicate that they are willing to take the COVID-19 vaccine prior to attending YLC.
Do you agree to receive the COVID-19 vaccine and show proof of having received it prior to attending YLC? * Required
Also, do you agree to take a COVID-19 test and send us the results of this test immediately prior to traveling to YLC? * Required
If YLC goes virtual due to COVID-19, are you still interested in joining the virtual camp? * Required

2021 Session 1 – NAD YLC Camper Information

Camper Information

School Information

Parents/ Guardians Contact Information