Camp STARS Application

Your Information

Loss History

Starting with yourself, please provide information below for each person that will be attending.

Sex

Age Group/Facilitated Group (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

SECOND ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

THIRD ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

FOURTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

FIFTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

SIXTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

SEVENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

EIGHTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

NINTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

TENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

ELEVENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

TWELFTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

THIRTEENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

FOURTEENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

FIFTEENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

SIXTEENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

SEVENTEENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

EIGHTEENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

NINETEENTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

TWENTIETH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

TWENTY FIRST ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

TWENTY SECOND ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

TWENTY THIRD ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

TWENTY FOURTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

TWENTY FIFTH ATTENDEE

Sex

Age Groups/Facilitated Groups (choose one)

T-shirt Size (choose one)

Any life threatening allergies (ex.: peanuts, milk , bee stings)?

Other Information

Please note the camp’s grounds and cabins are wheelchair and walker accessible. Some cabins may be a moderate walk from the activities. Please tell us if you have any special needs that would benefit from a closer cabin or lodgings without stairs. For the safety of everyone attending Camp STARS and on the grounds of Camp Twin Lakes, family pets are NOT allowed unless it is a registered service animal. Documentation MUST be provided.