Please check one box for this application; one family per application form, please.

Kieve Veterans Camp








Veteran's Name:
Family Members Attending:
Male Female
Male Female
Male Female
Male Female
Male Female
Male Female
Military Branch and Unit(s) Deployed With:

and/or
Home Address (Enter non-USA address details in the closest-matching fields; for non-USA phone or mobile #s, ignore the (area code) and enter entire number in the main phone field.)
How did you hear about this event?

Do you know others who may be interested in attending this program?



Please list any food allergies:

In case of a medical emergency, whom may we contact?



Photos: We take many digital photos during each session and post them on a secure website for your viewing and enjoyment. We use some of these images in our end of session slide shows and occasionally in our promotional materials. You can view the slides by choosing the "Slideshow" link from the Kieve Veterans' Program page on our website. If you do not wish to be photographed, please let us know upon arrival. Thank you, and we look forward to welcoming you at Camp Kieve!


Please type your full name in the Signature field; this serves as your binding digital signature.


Print a copy of your form now for your records.

 

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