* Full  Name:
* Email:
* Current
* Phone#:   (Where I can be reached now)
  Cell Phone#: 
  Contact Time:    (Best to time to contact you)
  School Name:
  Year of Study:

  College Major:
  Position Desired:
  If Specialty, what areas of interest:
  Camper Age Preferred:


  I am a:

    I am available for all Camp Dates        
(June 17, 2022 until August 13, 2022)
    If NO, specify:
    Tell us something about yourself and how you heard of Wah-Nee.



Days: Hours: Mins: Secs: