Name: __________________________________________ Male ____ Female ____

  Street Address: _____________________________________________________

  City______________________________________ State____ ZIP_____________

  Phone: (Hm) (_____) __________________  (Wk) (_____) ___________________

  Email: ____________________________________________________________

___ Omit phone  ___ Omit address ... from camp address list

Preferred contact method:  ___ Email  ___ Surface Mail

Camp Options and Fees:
Send a check for at least $75 made out to BACDS. Full amount due by July 15th. 
Tuition includes program costs, meals and sleeping accommodations. Bring your own bedding. 
If you have to cancel, send notice before July 15th to get a refund. 

Age: ___26+ ($595)  ___18-25 + ($385)  ___14-17 ($300)  ___13 & under ($170)

     ___ Please send me a scholarship application (deadline: July 8th)

Meals:    ___ Omnivore     ___ Vegetarian    ___ No dairy

    Special requirements:                                                                                                  

Housing:  ___ Basic Cabin  ___ Rustic Cabin  ___ Tent/RV

Transportation:  ___ I can offer a ride to camp  ___ I need a ride to camp

    ___ I will attend only if my coapplicant attends.

    Coapplicant's name:                                                                                                    

  Tax-deductible gift to Sierra Swing scholarship Fund: $                                             

I heard about Sierra Swing from: