Camp Application

Please provide the following information about your child with special needs

Child's First Name *

Child's Last Name *

Age of Child *

Child's T-Shirt Size *

School Name *

School District *

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Street Address *

Apartment, suite, etc

City *

State *

ZIP Code *

Name of County

Phone Number *

Email Address *

Ethnicity

This information is used only by Be An Angel when applying for grants to fund camp. This information is not shared with other organizations. In order to be inclusive of mixed race families, we ask that you provide the number of family members that apply to each.

Caucasian

Hispanic

African American

Asian

Other

Is a wheelchair or walking assistance required? *YesNo

Is there difficulty sleeping through the night? *YesNo

Would they possibly disturb other campers? *YesNo

If YES, Please Explain

Please list any dietary restrictions

Are there any other special considerations that we should know about?

Please list any financial assistance that you receive (if applicable)

Previous Camp Attendance (In Years)

How did you hear about Camp Be An Angel? *

Attending Family Members

A maximum of 6 immediate family members are welcome to join us in attending Camp. At least one parent/legal guardian is required in attendance).

Number of Family Members Attending (NOT including child listed above) *

Family Member #1

First Name *

Last Name *

Age *

Relationship To Child

Gender

T-Shirt Size *

Family Member #2

First Name *

Last Name *

Age *

Relationship To Child

Gender

T-Shirt Size *

Family Member #3

First Name *

Last Name *

Age *

Relationship To Child

Gender

T-Shirt Size *

Family Member #4

First Name *

Last Name *

Age *

Relationship To Child

Gender

T-Shirt Size *

Family Member #5

First Name *

Last Name *

Age *

Relationship To Child

Gender

T-Shirt Size *

Family Member #6

First Name *

Last Name *

Age *

Relationship To Child

Gender

T-Shirt Size *

Family Member #7

First Name *

Last Name *

Age *

Relationship To Child

Gender

T-Shirt Size *

Camp Be An Angel

Space is limited. Once Families Are Selected, A Complete Packing List And A Detailed Schedule Will Be Provided.

We are not accepting applications at this time.
please check back soon for upcoming dates.

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Accepting applications for the following camp:

Month Date-Date, Year - Location

Please provide the following information about your child with special needs

Parent/Guardian Information

Ethnicity

This information is used only by Be An Angel when applying for grants to fund camp. This information is not shared with other organizations. In order to be inclusive of mixed race families, we ask that you provide the number of family members that apply to each.

Attending Family Members

A maximum of 6 immediate family members are welcome to join us in attending Camp. At least one parent/legal guardian is required in attendance).

Houston

dfw

© 2024 Be An Angel fund inc. All Rights Reserved. Privacy Policy.

Houston

DFW

© 2024 Be An Angel Fund Inc. All Rights Reserved.

Privacy Policy

Camp Be An Angel