Registration Form Student First Name*Student Last Name*Date of Birth* MM slash DD slash YYYY Current Grade Level (at time of application) - Those who are currently in 7th grade (entering 8th Grade in Fall 2026) are ineligible to apply for GLAMPing and should apply for Camp Connect.* 5th Grade 6th grade Shirt Size* Youth Large Youth X-Large Adult Small Adult Medium Adult Large Adult X-Large Student Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Can you provide some more information about your out-of-state address?* We are moving to the Orlando area in Summer 2026 I am visiting someone who lives in the UCF area this summer I am visiting Orlando specifically to attend this program and know that this program is non-residential Other Please share more if you answered "Other" above:*Current School*School District (Example: Orange, Seminole, Brevard, Volusia, etc.)*School Street Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Caregiver #1 First and Last NameCaregiver #1 Phone*Caregiver #1 Email*All communications for GLAMPing will be sent to this email. Please be sure the address is entered correctly. Caregiver #2 First and Last NameOptionalCaregiver #2 PhoneOptional Caregiver #2 EmailOptional Who will the student be residing with during the camp week?*Caregiver #1 & #2Caregiver #1Caregiver #2Other (Please list name and contact number below)Name of Person the student is residing with during camp.* Relationship of Person to the student.*Phone Number of Person the student is residing with during camp.* Emergency Contact Name (Person other than the caregiver(s) listed above)*This is who we can reach in an emergency if the primary or secondary caregiver cannot be reached. Emergency Contact Phone*Emergency Contact Email* How did you hear about this camp?* Mail Internet Search/Google Ad Facebook Guidance Counselor Teacher Friend Previously Attended GLAMPing Other (explain below) If "Other", explain here*I am involved with the following clubs at school:* STEM Club Engineering Club Robotics Club Math Club None Other Non-STEM Club If "Other Non-STEM Club", explain here*I have previously attended GLAMPing. (Please note that all returning GLAMPers will be placed on a waitlist as we prioritize the participation of new students.)* Yes No Explain why you are interested in attending GLAMPing. (To be completed by the student)*