Apply to Camp Wildwood

Jun 9–13, 2026 Ages 6–12 $295 / week for Emma Chen-Rodriguez

Camper Information

Auto-filled from Emma's profile
Emma Chen-Rodriguez
March 15, 2017
9 years old
Female
Youth Medium
4th Grade

Emergency Contacts

Auto-filled from Emma's profile
Contact 1 Mother
Lisa Chen
(512) 555-0198
lisa@email.com
Contact 2 Father
Marco Rodriguez
(512) 555-0234
marco@email.com

Medical Information

Auto-filled from Emma's profile
Allergies
Peanuts — Severe Bee Stings — Moderate
EpiPen — in backpack
Nut-free required
Dr. Sarah Miller  ·  (512) 555-0456

Camp Wildwood Questions

3 questions
Only 3 additional questions from this camp — everything else was already filled from Emma's profile.
Has your child attended Camp Wildwood before?

Preferences & Notes

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Application submitted!

Camp Wildwood will review Emma's application within 2–3 business days. You'll get a notification as soon as they respond.

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