• Personal Information

  • e.g. 123-456-7890
  • e.g. 123-456-7890
  • e.g. 123-456-7890
  • Required if you are under 18
  • School Information

  • Camp Information

  • Miscellaneous

  • These are adult sizes.
  • Parents must sign for applicants under 18 years of age.

    I hereby authorize and consent to the use and reproduction by YSI staff or an authorized agent or assignee of any and all photographs taken of the above-named applicant for the purpose of promoting YSI programs, without any compensation to me. All film, together with any prints, shall constitute property of YSI, solely and completely.
  • Who recommended this program to you?
  • Essays

  • 50-75 words
  • 50-75 words