Student Application Form

Are you ready to be a part of this adventure? If you are in junior high, come from a single parent home (or otherwise considered "at risk") and possess an adequate sense of adventure to enjoy a week in the wilderness then we are looking for you! Complete the form below or download Student Application and mail a copy. If you are looking for the Camp Counselor Application, click here.
(*All fields are required)

Application for Student Participation
July 6-11, 2009

Student's Name
Date of Birth
Student's Address
City , Zip
Home Phone
Student's Email
School Attending
Grade GPA
Parent's Info Name Work Phone
Parent's Email
Sponsor's Name
Sponsor's Phone
Sponsor's Email

To the student:
Explain below why you want to go to the Rendezvous and how it will help you.

NOTE: An email and/or letter will be sent to both the sponsor and your parents to
complete their portion of the application.

Questions? Call Officer Younger at: 970-566-1210