Camp Application | Balanced Development

Your information will be securely stored on Wix's servers, the platform we use to manage our website and forms. It will only be accessible by authorized personnel within Balanced Development Foundation. The last four fields in this form may be shared with sponsors to evaluate potential sponsorship opportunities for the student's participation in the 2025 Summer Camp. These fields will be clearly marked. The information collected will be used solely for the purpose of the student's participation in the camp. By submitting this form, you consent to the collection and use of your information as described.

Student First Name

Student Last Name

Student Gender

Student Birth Date

Month

Day

Year

Student Email

Student Phone # (with country code)

Country and City of Residence

Parent First Name

Parent Last Name

Parent Email

Parent Phone # (with country code)

Does the student have any medical conditions or take any medications?

Does the student have any dietary needs?

Does the student have any specific needs, concerns, or accommodations?

Student photo for identification purposes (Optional)

Information entered in the next four fields may be shared with sponsors to help evaluate sponsorship opportunities for the student's participation. Do not include personal or sensitive information.

Academic / intellectual / professional interests and goals

Physical activities

Spiritual interests (favorite books, art or music activities, etc)

What part of the camp are you excited about and why?

You will receive a confirmation email within 24 hours. If you don't, please try submitting the form again.