This is the Camp Compass Release form. Please fill out the form, Sign it in the appropriate places and print the form. If you can Scan the form to a PDF after signing, attach it to the application submission. if not, mail it to: Camp Compass Academy 1221 Sumner Ave (rear) Allentown, PA 18102

Guardian Name (required):

Guardian Phone:

Guardian Email (required):

Student First Name (required):

Student Last Name (required):

Student Phone (required):

Student Age (required):

Student Email (required):

Student Address (required):

Student City ( required):

Student State (required):

Student Zip Code (required):

Subject:

Why I want to be part of Camp Compass:

Attachment: