Camper Information Form

NIU 2014 LA&S Summer Academic Camps

Please fill out and submit each form listed below. After hitting submit, it will take you to the next form. When all forms are completed, you will receive an email within two business days with link to make deposit/payment for camp attending.

•Camper Information Form
•Parental Consent Form
•Behavior Contract Form
•Health Form
•Student Statement Form
•Teacher Recommendation

  

Camper Information Form

Which Camp are you attending?
Camper's First and Last Name
Preferred Name
Gender
2014/15 Grade
Street Address
City
State
ZIP Code
Parent/Guardian Name(s)
Parent/Guardian(s) Email
Preferred Telephone
Parent/Guardian(s) Cell
Camper's Cell
Camper's Email
Roommate Request

Check box below and provide an explanation (required) if you have special needs that are regulated by the Americans with Disabilities Act. (Contact NIU's Disability Resource Center for assistance at 815-753-1303 or www.niu.edu/disability; particpants are responsible for any non-credit accommodation charges.)

Electronic Signature (Initials)
Today's Date