OWjL Parent/Guardian Form

This form is to be completed by the parent or guardian. Form Deadline: January 31, 2018.

Note: Fields marked with an asterisk (*) are required.

Child’s Information
* My child’s full name is:
* My child’s gender:
* My child’s current grade:
* My child lives with:
If “Other,” please describe the relationship:

Parent/Guardian Contact Information
Full Name:
Email Address:
Is the Parent/Guardian Mailing Address the same as the applicant’s mailing address?
If “No,” please provide the Parent/Guardian Mailing Address:
Home Phone Number:
Cellphone Number:
Employer:
Work Title:
Employer Phone Number:
Were you an OWjL camper?
If “Yes,” what year?
Were you an OWjL counselor?
If “Yes,” what year?
Did you graduate from OWU?
If “Yes,” what year?

Parent/Guardian Contact Information
Full Name:
Email Address:
Is the Parent/Guardian Mailing Address the same as the applicant’s mailing address?
If “No,” please provide the Parent/Guardian Mailing Address:
Home Phone Number:
Cellphone Number:
Employer:
Work Title:
Employer Phone Number:
Were you an OWjL camper?
If “Yes,” what year?
Were you an OWjL counselor?
If “Yes,” what year?
Did you graduate from OWU?
If “Yes,” what year?

Comments/Questions
General Comments
(why would you like to see your child selected for the OWjL program?)
* Does your child have a sibling applying for OWjL Camp this year?
If “Yes”, what is the sibling’s name?
If “Yes”, which week of camp?
* How did you learn about OWjL camp?
(select all that apply)
 

Volunteer Opportunities
Would you be interested in helping with OWjL in any of these ways?
Registration of campers Sunday evening (5:30-7:30 p.m.) June 10, 17, or 24:
Jury Duty for “You’re on Trial” class (1 1/2 hours both Thursday & Friday of camp):
If you answered “Yes” to either of the above:

Certification
* I certify that the above information is true and give permission for my son/daughter to apply for admission to OWjL Camp. I also authorize officials at his/her school to release information pertinent to this form.

If you have any questions about the OWjL Program, please contact the OWjL Office Manager (Eve Helenberger) at 740-368-3939, the OWjL Director (Susan Paxton) at 740-368-3956, or email owjl@owu.edu.