"Experiential education for young people, promoting the natural world and the betterment of human character."

Eagle's Nest
The Outdoor Academy Application

Information provided in this application will be kept confidential.
Please complete this application only if you are applying to OA.

Student Information:

Legal Name:

First:

Middle:

Last:

Nickname:

Gender:

Birthdate (mm/dd/yyyy):

Age at Arrival:

Home Address:

Address 1:

Address 2:

City:

Sate:

Zip:

- Or - Foreign State/Province:

Country:

Telephone Number (with area code):

Student lives with:

Student's E-mail address:

School:

School Street/PO Box:

City:

State:

Zip:

Grade completed this year:

Advisor's Name:

Advisor's Telephone Number:

Eagle's Nest Camp & Foundation
Summer: 43 Hart Road, Pisgah Forest, NC 28768 • Directions/Map
(828) 877-4349 • Fax: (828) 884-2788 • E-mail

Winter: P.O. Box 5127, Winston-Salem, NC 27113-5127
(336) 761-1040 • Fax: (336) 727-0030 • E-mail

The Outdoor Academy
All Seasons: 43 Hart Road, Pisgah Forest, NC 28768 • Directions/Map
(828) 877-4349 • Fax: (828) 884-2788 • E-mail


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Eagle's Nest The Outdoor Academy Application

Student Information:

Eagle's Nest
The Outdoor Academy Application