ESI Camp Application Form

First Name*

Last Name*

Email*

Mailing Address*

City*

State*

Zip*

Parent Name(s)*

Parent Email*

Parent Cell*

Other Parent Contact Number(s)

Grade Level in Fall of 2022*

School Name*

T-shirt Size*

Food Allergies*

ESI Camp will inspire you to use your talents and passions to create innovative, sustainable businesses and to establish meaningful connections with community leaders. As you respond to the questions/statements below, think outside the box.

Describe what you like spending your time doing*

Share what you and your parents feel your strengths are*

Do you have a business idea? If so, please share it

What do you hope to gain from ESI Camp*

This year's ESI camp will be a variation of the years past due to COVID conditions. With that, it is essential that if the applicant is selected that he/she attend scheduled zoom times, attend any in-person activity, and attend the July 16 sidewalk sales.

The applicant agrees to attend all scheduled zoom times?*

Yes

The applicant agrees to attend any in-person activity (if possible, please coordinate with a teacher)?*

Yes

The applicant agrees to attend the July 16 sidewalk sales?*

Yes

A limited number of camper spots are available for this camp. Selection will be made by reviewing applications. By signing below, you understand that a maximum camp fee of no more than $100.00 will be due two weeks after notification of acceptance into the program. Program officials have acquired sponsorship funds to help offset the $400 per student cost. If selected, I give permission for my student to participate in the ESI Camp for the dates listed above. I understand students will be walking as well as transported in vehicles during this program. I will not hold responsible for any sponsor or staff/volunteer if an injury occurs during the camp. In addition, I give permission for York County Development Corporation, York Chamber of Commerce, York Public Schools, Heartland Community Schools, McCool Junction Public Schools, Trinity Lutheran School, Saint Joseph School, and Emmanuel Lutheran School to use photos of my child on social media as well as other marketing materials.

Applicant Signature*

Parent/Guardian Signature*

Date*

April 29th Application Deadline

ESI Camp Application Form

2022 ESI Camp Application Form