2023 Express C.A.M.P Application

• If you experience difficulties filling out this form, please email Emily Knuth (eknuth@depauw.edu).
• Name of Student*
  First Name Last Name
• Date of Birth (xx/xx/xxxx)*
• Age (at the time of camp)*
• Grade Fall 2023*
  • 1st
  • 2nd
  • 3rd
  • 4th
  • 5th
• Name of school (2023-2024)*
• T-Shirt size*
  YXSYSYMYLASAMALAXLAXXL
• Name of Parent or Guardian*
  First Name Last Name
• Address*
  Street Address Street Address Line 2 City State / Province / Region ZIP / Postal Code
• Cell Phone*
• Alternative Phone (Work, Home, Partner)*
• Email Address*
• Best way to contact you*
  • Email
  • Cell Phone
  • Home Phone
• How would you like paperwork sent?*
  • U.S. Mail
  • Email
• Do you qualify for free or reduced lunch?
  • Yes
  • No
• Would you like more info on our scholarships?
  • Yes
  • No
• Will your child need bus transportation to and from camp (available within Greencastle City limits)?*
  • Yes
  • No
• Is there anything else you would like us to know at this time?
• How did you hear about us?
  • A flyer in my child's school folder
  • Newspaper story
  • Facebook
  • My child(ren) have attended in the past
  • A friend told me about it
• Phone
  This field is for validation purposes and should be left unchanged.