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Camp AnyTown 2017 Delegate Application
Camp AnyTown, held June 12-17 is a 6-day residential retreat for high school students. Hosted by the Oasis Center, Camp AnyTown is a nationally based model that takes place in communities all across the country. Camp AnyTown is held at  Hillmont Camp in Peagram County and we will provide transportation to Hillmont from the Oasis Center and back.

Throughout the week of AnyTown, you will have the opportunity to live with and get to know other young people from various walks of life. Our program is designed to address the messages that create exclusion and discrimination, while giving you the opportunity to create the vision of the world you want to live in.

While we do have A LOT of fun, this is not your typical summer camp. Take a look for yourself... https://goo.gl/uskpqz (video)
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Contact Information
First and Last Name *
Email Address (this is how we will primarily contact you) *
Date of Birth *
School *
Grade Level *
Address *
City, State, Zip *
Student Phone Number *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Demographic Info
To ensure diversity at Camp AnyTown, please complete the following questions
Race/Ethnicity (check all that apply) *
Required
Gender/Gender pronouns *
Accomodations
To ensure your safety and well-being please answer the following questions.
Do you require special accommodations for physical accessibility? *
Do you require special accommodations for food or diet? (allergies, vegetarian, etc.) *
There is a nominal fee of $300. Do you require a scholarship? (We provide scholarships to all that apply.)
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