2024 Camp Super Fly ApplicationFill out this application for Middle School, High School and Transition School Ages 12-21 Campers Name * First Name Last Name Age of camper at time of camp * 12 13 14 15 16 17 18 19 20 21 What school does the camper attend? * How did you hear about us? Any Allergies we should know about? YES NO IF YES - What are the campers Allergies / Dietary Restrictions/ Bee Stings /Nuts/Medications? Is the camper Verbal or Non-Verbal? Does the camper have any history of seizures? If yes, what type? Does the camper need assitance using the restroom? Is the camper a "runner"? Do they often run off without telling you? Does the camper know how to swim? How strong of a swimmer are they? Does the camper need assistance changing in and out of their swim suits? YES NO What are some of the Campers favorite things to do or talk about? Campers Birthdate MM DD YYYY Campers shoe size Parent's Name First Name Last Name Parent's Phone Number (###) ### #### Parent's Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you for filling out the application! We will be in touch to discuss this years camp!