Camper First Name *

Camper Last Name *

Camper Date of Birth *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

Camper Address *

Gender Identity
Male
Female
Non-binary
Not listed Please specify a value for Gender Identity

Preferred pronouns
He/him/his
She/her/hers
They/them
Not listed Please specify a value for Preferred pronouns

Preferred name or nickname *

Ethnicity (select all that apply)
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latinx
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Prefer not to answer
Not listed Please specify a value for Ethnicity (select all that apply)

School that camper currently attends *

Camper grade entering in Fall 2026 *
7th Grade
8th Grade

T-shirt size (adult size, unisex fit) *
Small
Medium
Large
Extra-large

Which week of STEPS are you applying for? *
Can ONLY attend June 15-18, 2026
PREFER to attend June 15-18, 2026
Can attend EITHER week (June 15-18, 2026 or June 22-25, 2026)
Can ONLY attend June 22-25, 2026
PREFER to attend June 22-25, 2026

Will you be seeking needs-based financial assistance? *
Yes
No

How would needs-based financial assistance help your camper and/or family? *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Additional Parent/Guardian First Name

Additional Parent/Guardian Last Name

Additional Parent/Guardian Phone Number

Additional Parent/Guardian Email

Additional Parent/Guardian Address

This verifies that a parent/guardian completed this lottery application

Parent/Guardian Signed Date *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900