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Fields
Camper's First and Last Name
*
First Name
*
Last Name
*
Has your camper attended YMCA Camp Carter in the past?
*
Yes
No
Please select your week of Day Camp (Age 5 - 12):
*
Week 1: May 28th-May 31st
Week 2: June 3rdd-June 7th
Week 3: June 10th-June 14th
Week 4: June 17th-June 21st
Week 5: June 24th-June 28th
Week 6: July 1st-July 5th
Week 7: July 8th-July 12th
Week 8: July 15th-July 19th
Week 9: July 22nd-July 26th
Week 10: July 29th-August 2nd
Week 11: Aug 5th-Aug 9th
No Preference--Assign Week
Parent/Guardian Name (Service Member)
*
First Name
*
Last Name
*
Service Status
*
Active Duty
Active Guard and Reserve (AGR) - Full Time
Other:
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:
Assigned Duty Station
*
NAS Fort Worth JRB
Redmond Taylor Army Heliport
Fort Wolters
Fort Hood
Other:
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
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:
Age of Camper
*
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 tiered pricing discounted amount based on rank, availability and first come first serve basis for the 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.*
*
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