Fields marked with a '*' are required.











Fields marked Multiple: you can select multiple items.


Camp region in WA* (Multiple):
Central (Ellensburg, Yakima)Eastern (Spokane, Walla Walla)Northwestern (Seattle, Bellevue, Bellingham)Southwestern (Tacoma, Port Angeles, Long Beach)

Month(s) camp offered* (Multiple):

Serves children with (Multiple):

Serves children with (Multiple):

Does your camp need volunteers*:
YesNo

May siblings attend*:
YesNo

Type of camp*:
OvernightDayDay/Overnight

Languages (other than English):


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