Overnight Camp 2022: Armed Services YMCA - Military Campership Application

Camper's First and Last Name *

First Name

Last Name

Camper's Preferred Gender Pronoun *

Camper's Birth Date *

Has your camper attended YMCA Camp Carter in the past?*

Yes No

Parent/Guardian Name (Service Member)*

First Name

Last Name

Parent/Guardian Date of Birth*

Service Status*

Active Duty Active Guard and Reserve (AGR) - Full Time Other:

Other Value*

Please select Rank*

E1 - E5 E6 - E7 E8 and up O1 - O3 O4 - O10

Branch of Service*

Army Marines Air Force Navy Coast Guard Other:

Other Value*

Assigned Duty Station*

NAS Fort Worth JRB Redmond Taylor Army Heliport Fort Wolters Fort Hood Other:

Other Value*

Address Line *

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone*

Mobile Phone*

Email (Regularly checked)*

Please check all that apply *

Fallen Wounded or injured in service Illness related to service Deployed in the last 18 months PCS in last 18 months Orders for deployment in next 6 months Retired or discharged None of the Above Other:

Other Value*

What benefit do you hope your camper will get out of a week of camp?*

By signing below I agree that the submitted information is correct and agree to receive communication from the YMCA of Metropolitan Fort Worth and the Armed Services YMCA. I understand that I will be contacted by email if my child is selected for an Armed Services YMCA Campership and once your account is verified and the application is accepted, the parent/guardian of the participant will receive an email sent to the enrolled email address with a link to pay their $50 (day camp) or $100 (overnight camp) discounted weekly fee and fill out registration paperwork. This balance must be paid within 15 days of registration or your campers spot will go to the next one on the list. No later than 2-weeks prior to the start of the camp session the health information forms must be completed prior to a camper being admitted to camp. You will received an email for your specific registration link. The invoice for the deposit and balance will be sent by email directly from the YMCA of Metropolitan Fort Worth and can be paid online, by phone or by mail.**

[clear]