2. 

3. Vernon Township Summer Camp Friendship Request 2023

5. Camper's Name
7. First Name*
8. Last Name*
10. My Friendship request Is:
12. First Name*
13. Last Name*
15. Age Group Camper is Enrolled In
    -- Select One --4567

17. Please only submit 1 friendship request form.

    Per Vernon Township policy, only ONE friendship request is permitted.  Please do not contact Vernon Township requesting special consideration regarding this issue.

    If more than one name is listed on this form, we will not choose one and therefore, none of the names will be considered. 

    Friendship requests must be reciprocal. Applications with non-reciprocal friendship requests are placed in groups at random.

    Vernon Township will not disclose the request of another camper.

    Vernon Township does not allow requests for specific counselors. This includes gender requests.

    If you have multiple children in the same age group and would like them in the same group, please indicate this on the line below as your friend request.

    Friendship requests must be submitted to Vernon Township by Friday May 26th, 2023. Any requests after this date CANNOT be guaranteed.

19. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
21. Electronic Signature*
22. Date*
    Date
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field