Full Name* First Name Last Name Parent E-mail* Does teen have a cellphone? YesNo Teen's Cell* Area Code Phone Number Parent's Cell* Area Code Phone Number What grade are you finishing?* 5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeOther What are you doing next year?* What school will you be in next year?* What dates will you be home this summer?* What scheduling is best for you?* Select all that apply Day activities (approx. 10am-2:30 pm)Evening activities (approx 6pm-10pm)Multi-Day trips (2-3 day overnight trip)Weekdays (Mon-Thurs)Sundays What types of activities do you like most?* Select all that apply Outdoor / NatureCreative / CookingTrips & Outings Do you have a suggestion for an amazing summer activity? Submit Should be Empty: This page uses TLS encryption to keep your data secure.