Application | Camp buildHER

Applicant Information

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Phone *

Email Address *

Date of Birth *

Age at Time of Camp *

School Grade (Fall 2025) *

Name of the Camper's School (Fall 2025) *

Are you a returning camper? *YesNo

Guardian Information

First Name *

Middle Initial

Last Name *

Relationship *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone *

Email Address *

Emergency Contacts

Name *

Phone *

Relationship to Camper *

Name *

Phone *

Relationship to Camper *

Medical Information

Does the Camper have any medical needs that the camp staff should know about? *YesNo

Please explain the Camper's medical needs. *

Does the Camper have any allergies that the camp staff should know about? *YesNo

Please explain the Camper's allergies.

Does the Camper have any food allergies or dietary restrictions? *YesNo

Please explain the Camper's food allergies or dietary restrictions.

Miscellaneous Information & Questions

Camp buildHER t-shirt size *SmallMediumLargeX-Large

Youth or Adult *Youth SizeAdult Size

How did you hear about Camp buildHER? Be specific (Name of online source, school, etc.) And why do you want to attend the Camp? *

What do you want to be when you grow up and why? *

Do you know anyone who works in Construction? (plumber, electrician, framer, etc.) *

Campers will be selected based on applications, there is no guarantee of acceptance into Camp buildHER

Disclaimer & Signature

I give permission for my camper named above to participate in all Camp buildHER scheduled for August 6-8, 2025. I understand that there will be “hands on” activities offered at Camp buildHER, and that a field trip is scheduled for during camp. I understand that my camper must have personal insurance coverage prior to participation in the various summer camp activities. We understand that appropriate dress for construction is required. That includes jeans or long pants, close-toed shoes or boots and something to pull back long hair. I understand that Camp directors will make every effort to keep this summer camp experience education and safe. I also give Camp buildHER, the National Association of Women in Construction (NAWIC) Puget Sound Chapter, Andersen Construction, and the Camp’s Company Sponsors the permission and authority to use my camper’s picture or videotape for press releases and other activities that promote safety, job recruitment and retention, or any positive industry related event. I release the camp directors, Camp buildHER, Andersen Construction, NAWIC/NAWIC Puget Sound, and Camp’s Sponsoring Organizations from liability for any physical injury that may occur.

Signature *

Date *

I understand Camp buildHER is an opportunity for me to learn about the construction trades. I may like one trade more than others, but I will show up and work hard and commit to trying my best on each project. I will treat other campers, camp counselors and volunteers with respect. I will leave my cell phone at home or in my bag. I will demonstrate a positive attitude and be a Team Player. I will help clean-up the jobsite each day.

Signature *

Date *