Camp Cost. Thanks to a generous grant from Milwaukee Public Schools. Partnership for the Arts and. Humanities, teen girl
Everytown Wisconsin counts on families, schools, faith communities and youth serving organizations to refer and sponsor Everytown Wisconsin delegates.
Everytown Wisconsin
2016 supporters include: ACLU of Wisconsin Boys & Girls Clubs Center for Youth Engagement Diverse & Resilient Milwaukee Public Schools Neu-Life Community Resource Center Outlet: Plugging People In! Pearls for Teen Girls Public Allies TRUE Skool Urban Underground
Everytown Wisconsin Application To attend camp, please complete this form, including parent and sponsoring agency signatures and a $25 non-refundable deposit. Make check payable to YWCA Southeast Wisconsin. Due Friday, July 29.
Teen’s Information _________________________________________ Teen’s Name _________________________________________ Address
Mail: Martha Barry, YWCA Southeast Wisconsin 1915 N Dr Martin Luther King Dr Milwaukee, WI 53212
Sponsoring Agency Information
_________________________________________ City Zip
_____________________________________ Sponsoring Agency Name
_________________________________________ Email _________________________________________ Phone
_____________________________________ Sponsor Representative _____________________________________ Email
_________________________________________ High School
_____________________________________ Phone
Food Preference: No preference Vegan Vegetarian Other __________________________ Adult T-Shirt Size: S
M
L XL XXL XXXL
To ensure diversity at camp, please describe yourself:
YWCA (Wisconsin affiliates)
Gender: F T
Birthdate _______________________ Grade in Fall 2016 _____________
Asian: Hawaiian/Pacific Islander ___ Chinese___Hmong___ Indian___ Laotian ____ Other___ Hispanic/Latino: Puerto Rican __ Mexican __ Cuban ___ Other __ American Indian ___ Black/African American ___ White/Caucasian ___ Multi-Racial ___ Other ___
Parent/Guardian Consent and Emergency Authorization • I consent to my teen’s participation in all activities and trips that are part of the Everytown Wisconsin program and under the direction of Everytown Wisconsin staff.
Social Justice Training for Teen Girls August 14-19, 2016
• In the event of an emergency, I give permission to the medical staff chosen by the Everytown Wisconsin directors to hospitalize, secure proper treatment for, order injection, x-ray, routine tests, anesthesia and/ or surgery for my teen named above. • I give permission to Everytown Wisconsin/YWCA Southeast Wisconsin to evaluate my teen’s response to camp for funding purposes, and to use photographs or video images of my teen in publicizing and promoting its mission. Name (please print)________________________________ Relationship to teen ___________________ Signature _______________________________________ Phone _________________ Date ________
Camp Everytown Wisconsin is on Facebook!
This training is for teen girls who want to become leaders for social change among their peers and in their communities.
About Everytown Wisconsin Everytown Wisconsin is a week-long camp held in Almond, WI at Camp Helen Brachman.
Camp Cost Thanks to a generous grant from Milwaukee Public Schools Partnership for the Arts and Humanities, teen girls may apply for scholarships to help cover camp fees.
Teen girls from a variety of backgrounds and high schools throughout Wisconsin attend camp as delegates to learn about civic issues and forms of injustice, gain leadership skills, and have fun!
How to Attend Camp • You must be a female-identified teen who has completed 9th, 10th, or 11th grade, or a 2016 graduate
Come learn about democracy, community action, and what you can do about injustice.
• Complete the enclosed application • Include a $25 non-refundable deposit • Include a signature from a parent or guardian
Camp Leaders Co-Directors: Camp leaders who make learning about social justice inspiring Counselors: College-age young women who stay in cabins with teen girls to offer advice and help with activities Advisors: Assist teen girls and counselors with developing leadership skills and tackling social justice issues head on
• Include a signature from a sponsor agency (Examples: your school, or a volunteer
Final camp cost is based on household income and ranges from $25-$500.
“My perspective on life has completely changed. Because of Everytown, I am a better person.”
organization or youth program you are involved in)
Contact Us Martha Barry Racial Justice Director YWCA Southeast Wisconsin
[email protected] 414-267-3204
