Leadership Camp Application

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This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Date of Birth(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Street Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Phone(Required)

Which school do you attend?(Required)

Current grade level(Required)

Junior 11th Grade

Senior 12th Grade

Men's T-Shirt Size

Your WREC logo camp shirt to wear the first day of camp will be this size. Young men who attend will also receive a camp shirt of this size.

Ladies' T-Shirt Size

For young ladies who are selected to participate in the ICUA Youth Rally, this will be your camp shirt size.

Photo(Required)

Please include a current photo. If selected, this photo will be used in the camp year book.

Max. file size: 6 MB.

Parent or Guardian 1(Required)

First Last

Parent or Guardian 1 Address(Required)

Same as student

Street Address Address Line 2 City State ZIP Code

Parent or Guardian 1 Phone(Required)

Name

First Last

Parent or Guardian 2 Address

Same as student

Street Address Address Line 2 City State ZIP Code

Parent or Guardian 2 Phone

Why do you want to participate in your cooperative's youth leadership program?(Required)

Each camp hosts a talent show, would you be willing to participate? What talent will you share?(Required)

What leadership roles have you previously held?(Required)

How will you use the leadership skills you learn at camp in the future?(Required)

2026 Youth Summer Leadership Camp Application