Eagle's Nest

 

Eagle's Nest
2008 Camper or Hante Student Information

We appreciate your sensitivity in answering these questions, which are regarded in confidence. Eagle’s Nest thanks you for the opportunity to give this growth experience to your child. We promise to uphold safety standards as outlined by the American Camping Association, and to maintain sensitivity and individual approach toward the care of your child. We are looking forward to bringing physical, emotional, and spiritual nourishment to your child’s life, and to keep a balance between integrity and happiness. Eagle’s Nest is an equal opportunity recreational/ educational provider that does not discriminate on the basis of race, color, national origin, religion, sex, age, disabling condition or sexual orientation. Thank you for sharing your child.
Camper Information:
*Junior Counselor Application(due by Oct 15th - then rolling acceptance)
Legal Name:
First: Middle: Last: Suffix (Sr, Jr, III, etc):
Nickname:
Birth Date: / /
Age at Arrival: 		       Gender:
T-Shirt Size:
School:
Address:
City:  State: Zip: 		Grade Finished in 2008:
Home Address:
Address 1:
Address 2:
City:
State: Zip/Postal Code:
or Foreign State/Province:
Country: 		Home Phone: 1 - - -
or Foreign Phone #:
Child lives with:
1st Parent/Guardian Living with Camper:
Name:
First: Last: Suffix (Sr, Jr, III, etc):
Relationship to Child:

Cell Phone: 1 - - -
or Foreign Cell Phone #:
Email:
Frequency of use:

Occupation:
Work Phone: 1 - - -
                       ext.
or Foreign Phone #:
2nd Parent/Guardian Information (if applicable):
Name:
First: Last: Suffix (Sr, Jr, III, etc):
Relationship to Child:
Cell Phone: 1 - - -
or Foreign Cell Phone #:
Email:
Frequency of use: 		Occupation:
Work Phone: 1 - - -
                       ext.
or Foreign Phone #:
Complete for 2nd Parent/Guardian if Different from Camper's Home Address
Address 1:
Address 2:
City:
State: Zip/Postal Code:
or Foreign State/Province:
Country:

Home Phone: 1 - - -
or Foreign Phone #:

Please mail me a copy of the invoice:

Helpful Information for Eagle's Nest Staff

  1. Has your child been away from home before?
  2. Does your child want to attend camp? Comments:
  3. Has your child been to Eagle's Nest Camp before? , what year?

  4. Names and ages of siblings:
    5. Name Age
  5. Would you like to be a camp representative?         
  6. List first and last name of friends coming to camp:
    Note: Because of restricted #'s of cabins we do not prearrange cabin mates but do want to know who your camper's friends are.
  7. Regarding your child's maturity level, would you rather your child be placed toward:
           
  8. List favorite activities:
  9. List home responsibilities:
  10. How did you find out about Eagle's Nest Camp?
  11. If referred by a friend, please list their name:
  12. What do you wish your child to gain from camp?
  13. Physical or emotional conditions or other needs that require special attention:
    Note: Eagle's Nest Counselors and medical staff are not trained to handle campers with severe emotional or psychological disabilities or severe learning disabilities.
  14. Has your child received counseling or therapy?

    Please explain:
I will use this email address for the PayPal payment:
The information above is correct.