Leadership Camp (Indiana) – Camper Application


  • Personal Information

  • e.g. 123-456-7890
  • e.g. 123-456-7890
  • We will confirm your application using this email.
  • Education

  • Miscellaneous

  • We would like to help parents coordinate transportation to/from the camp with other parents in their area. To do this, we find the best approach is to share the mailing address and home phone number of registered families with each other. Your contact information will not be given to any third parties. Please mark whether you would like your contact info to be shared and whether you would like to receive that of others. If you mark yes, we will send you this contact information as the camp approaches.
  • 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 registrant for the purpose of promoting YSI programs, without any compensation to me. All images and videos, together with any prints, shall constitute property of YSI, solely and completely.
  • Who recommended this program to you?