Summer Camps and Conferences Application Form

Demographics

Name of Camp or Conference

Name of Sponsoring Company/Agency

Address of Sponsoring Agency

First and Last Name of Primary Contact

Phone Number of Primary Contact:

Phone number of Primary Contact

First and Last Name of Onsite Contact

Cellular Phone Number of Onsite Contact

Email Address of Onsite Contact

Select Organization Type

Commercial

Tax Exempt (Attach Copy of DR-14)

Non-Profit [Attach Copy of 501 (c)(3)]

FAU Department

Upload DR-14 or 501 (c)(3)