Application Due Date | Friday, June 7th

You’ll be notified by June 12th if you’ve been selected. Please be thorough and thoughtful in your responses! Being a huddle leader in the past does not guarantee acceptance this year. Parents – we want to get to know your student(s). Please do not apply for them. If you have any questions about the application process or about serving as a huddle leader please contact Sara Hurst | [email protected].

Applicant Information

Name*

Address*

Email*

Cell Phone Number*

Gender*

Male
Female

Age*

Date of Birth*

T-Shirt Size*

School*

Grade in Fall*

What sports do you have experience in? (select all that apply)*

Basketball
Baseball
Football
Golf
Soccer
Softball
Swimming
Tennis
Track & Field
Volleyball
Other

Commitment

Day Camp Agreement*

I understand that I will need to attend mandatory training on Sunday, July 21st from 1:30 – 5:00 pm at Urbana High School. I also understand that I’m committing to being at camp from 7:15 am to 3:45 pm Monday, July 22nd – Friday, July 26th.

I have read and agree to the terms above.

I have a conflict, but would still like to serve.

Parent/Guardian Information

Parent/Guardian Name*

Parent/Guardian Phone Number*

Parent/Guardian Work Number*

Parent/Guardian Email*

Add additional Parent/Guardian info

Emergency Contact Information

Emergency Contact #1 Name*

Emergency Contact #1 Work Phone Number*

Emergency Contact #1 Home Phone Number*

Relationship to Camper*

Add additional emergency contact

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