Summer IMPACT Camp
 
Full Tuition for August 5-9 is now due upon registration.  Acceptance into camp is not guaranteed until the full tuition ($350) has been received.
 
 
Payment can be made online.
After completing the form you will be directed to the online payment page.
 
Questions? Email youth@thevolunteercenter.org 
 
 
Your Email:
 *
Student First Name
 *
Student Last Name:
 *
Gender
 
Student's Cell:
 *
Student's Home #:
 
Parent/Guardian Full Name:
 *
Parent's Email:
 *
Parent's Cell:
 *
Parent Work #:
 *
Parent/Guardian Full Name:
 *
Parent Email:
 
Parent Cell:
 
Parent Work#:
 
Mailing Address:
 *
City:
 *
State:
 *
Zip:
 *
School Name:
 *
County of School Attending 2018-2019:
 *
Food Restrictions
 
Allergies (list all)
 
Medical Conditions:
 
Preferred Hospital:
 *
Date of birth-please use this format: dd/mm/yyyy
 *
How did you hear about our IMPACT Camps:
 *
We believes strongly in supporting all students and as much offer financial assistance as possible. Please complete the scholarship application form on the website. Contact adrienne@thevolunteercenter.org for more information on Financial Aid.
If you are requesting a scholarship to be used for tuition assistance please check here
Click here if you are affiliated with any of the following organizations: Durham TRY, Student U, the Emily K Center, Partners for Youth Opportunity (PYO), or Youth Empowered Solutions (YES)
 *
Please select each week below that you would like to attend. If it is multiple weeks, please indicate each week you will be participating.
Week 3 (August 5-9)
Please check if you have participated in the following programs:
Junior Leadership Durham
Yates Baptist Church
Boy Scouts
Girl Scouts
Verification Code:
Insert above code:
 * Required


Copyright © 2019  The Triangle Nonprofit & Volunteer Leadership Center (formerly The Volunteer Center) • Durham, NC • 919-321-8910 • www.thevolunteercenter.org