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PARENTS PACKET
For
KAMP KAPPA
July 22-27, 2012
Reggie L. Bullock Kamp Kappa 2012, Chairman
Kappa Scholarship Endowment Fund, Inc.KAPPA ALPHA PSI FRATERNITY, INC.ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER6343 South Kings Highway, Alexandria, VA 22306
ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER Kappa Scholarship Endowment Fund, Inc. Kamp Kappa Youth Development Program APPLICATION KAMP KAPPA 2012 July 24-27Date Received_________ Application #_____
Your Kappa Sponsor Name and Number __________________________________
CHILD’S NAME_____________________________ AGE_________
DATE OF BIRTH___________ ATTEND KAMP KAPPA Before? NO ___ YES___
ADDRESS_______________________________________________
CTY________________________ STATE____________ZIP CODE________
SCHOOL NAME_______________________CITY__________________
E-MAIL ADDRESS _________________________________GRADE ______ Please X for T-Shirts size S___ M___ L___ XL__XXL___ XXXL___ Other___
PARENT/GUARDIAN NAME__________________________________ BUS PHONE________HOME PHONE ___________CELL PHONE_________ PARENT/GUARDIAN NAME________________________________
BUS _________________HOME PHONE ___________CELL PHONE_______
EMERGENCY CONTACT NAME__________________
Phone__________________
Note: Application due ASAP. Medical information due May 31, 2012. Please bring all medication, to the registration. (July 22, 2012) Email or Mail information to: Reggie Bullock, 11518 Capstan Drive,Upper Marlboro Maryland 20772 or Fax 866-888-2884
POC: Reggie Bullock 240-832-5542 e-mail: [email protected]
What is your favorite thing to do outside?__________________________________________ What is your least favorite thing about the outdoors?_____________________________________ Who is your role model and why?____________________________________________
Camper’s Name____________________________________Nickname___________________
Grade you are going into________
School__________________________________________
Favorite Subject___________________ Least Favorite Subject_____________________
What is the first thing you do when you get home from school?__________________________________________________________
What sports do you like to play?______________________________________________
Are there any clubs or organizations that you are a member of?_____________________
Do you have any brothers/sisters? If so how many?______________________________
Do you have any pets? If so, what do you have? ________________________________
Have you been to Kamp Kappa before? If so when?______________________________
What are you excited about doing at Kamp?____________________________________
Is there anything about Kamp that you don’t want to do?___________________________
What is your favorite thing to do outside?______________________________________
What is your least favorite thing about the outdoors?______________________________
Who is your role model and why?____________________________________________
Kamp Kappa Camper InformationPlease take the time to fill out the questions below. It does not matter how much or how little you write,
but be sure to answer every question.
ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER Kappa Scholarship Endowment Fund, Inc. Kamp Kappa Youth Development Program
Camp information
If you're looking for a great adventure...it starts at Camp William B. Snyder!!!
The 350-acre Camp William B. Snyder, located in
Haymarket, Virginia is the latest and greatest camping
experience offered by the National Capital Area Council
and the Boy Scouts of America. Camp Snyder, now
operating in our 3rd year serves as a multi-functional
camp that can meet the needs of Packs, Troops, Venture
Crews, Varsity Teams, and other outside organizations
looking to develop a partnership or quality outdoor
experience.
Yes this is where we will be sleeping
ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER Kappa Scholarship Endowment Fund, Inc. Kamp Kappa Youth Development Program
KAMP KAPPADirections to Camp
Directions to Camp William B. Snyder Directions to Camp William B. Snyder 6100 Antioch Road, Haymarket, VA 20169 (571-248-4904) Interactive Map
From the east (Capital Beltway - Route I-495):• Take Interstate 66 west to exit #40 (Route 15).• Travel south on Route 15 to the second traffic light and turn right onto Route 55 (John Marshall Hwy).• Travel west about 1 mile to Antioch Road.• Turn right onto Antioch Road and follow sign to Camp Snyder.
From the south:
• Travel north on Route 15 (Warrenton), Route 7100 (Fairfax County Pkwy) or Route 28 (Manassas) to Interstate 66.• Travel west on Interstate 66 to exit # 40 (Haymarket, VA).• Travel south on Route 15 to the second traffic light and turn right onto Route 55 (John Marshall Hwy).• Travel west about 1 mile to Antioch Road.• Turn right onto Antioch Road and follow sign to Camp Snyder.
From the north:
• Travel south on Route 15 (Leesburg), Route 28 (Sterling) or Route 123 (McLean) to Interstate 66.• Travel west on Interstate 66 to exit #40 (Haymarket, VA).• Travel south on Route 15 to the second traffic light and turn right onto Route 55 (John Marshall Hwy).• Travel west about 1 mile to Antioch Road.
• Turn right onto Antioch Road and follow sign to Camp Snyder.
KAMP KAPPADirections to Camp
Application
KAMP KAPPAPoints of contact
Reggie Bullock 240-832-5542 [email protected]
Norman Simon 703-868-6676
Clifton Taylor 301-379-2692
