Summer Day Camp Application Submission Form

Organization Information

Company/Organization Name

Organization Tax Status

Non-Profit

For-Profit

Public

Agency EIN/Tax ID

Web Address

Physical Address

Mailing Address (If different from above)

Description of Program/Organization

Applicant Information

Applicant Name

Primary Phone Number

Email Address

Date of Birth

Upload Application Here

Please submit ONE PDF per location/request. All maps and supplemental documents must be combined into the corresponding PDF.

Maximum 10 files.
10 MB limit.
Allowed types: pdf.

Submission Confirmation