Application Due Date | Friday, June 6th

You’ll be notified by June 13th 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

Cell Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Gender

Male
Female

Age

Date of Birth

T-Shirt Size

School

Grade in Fall

Commitment

Day Camp Agreement

I understand that I will need to attend mandatory training on Sunday, July 27th from 1:30 – 5:00 pm at Urbana High School. I also understand that I’m committing to being at camp from 7:00 am to 4:00 pm Monday, July 28th – Friday, August 1st.

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