DSU Spring Outdoor Youth Camp

DSU Spring Outdoor Youth Camp Registration Form

March 9-12, 2020
Delta State University

Camper's name*
First Last
Date of birth*
MM slash DD slash YYYY
Gender*
- Male
- Female
School*
Grade*
Mother's name
First Last
Father's name
First Last
Home address*
Street address Street address line 2 City State/province/region ZIP/postal code Country
Phone*
Email address*
Enter email Confirm email
Camper's physician contact
Emergency contact person*
Emergency contact name's phone number*
Special food preferences/requirements
Have you previously attended any outdoor camp? If yes, mention names and dates of the camps.
Hidden
Any other important information to share
How will you pay the camp fee of $200?
- Check
- Cash
Please make check payable to “DSU Spring Outdoor Camp.”
Mail check to DSU Box C-4, Delta State University, Cleveland, MS 38733.
T-shirt size (youth sizes)*
This section is only for those children applying for one of two camp scholarships that cover all fees.
Write an essay of 500 words or less on why you think hunting and fishing are important in Mississippi.
Write an essay of 250 words or less why you should receive the scholarship. Mention financial hardship, if applicable.

This section is only for those children applying for one of two camp scholarships that cover all fees.