Camper Questionnaire


    Camp Akeela Camper Application


    PART III - Camper Questionnaire

    All fields are required.

    Your Name:      
    Your Birthdate: 
    Parent Name:    
    

    In the space below, please share with us any thoughts or feelings you have about coming to camp this summer.

    Please tell us three things you are looking forward to at camp:
    1.
    2.
    3.

    Please tell us three things you are NOT looking forward to at camp:
    1.
    2.
    3.

    What makes you act:

    1. Happy          
    2. Angry          
    3. Scared/Worried 

    What else would you like us to know about you?

    Please type the code shown in the image:

    captcha

    When you're finished, please click this submit button once only.
    Thank you!

    Social Skills Camp Boston Application