Inquiry Form

Notice: Required fields have a dotted underline.
Notice: Required fields are marked with a red asterisk at the end.
Mailing Address
Country
Address
City
State
Zip
About You (Parent/Guardian)
First Name
Last Name
Relationship
Email
Phone
Ex: 303-555-5555
 

How would you prefer to be contacted?

( Best time to call   )
How did you hear about us?
Add another parent/guardian from your household.

Add another parent/guardian from your household.

Second Parent/Guardian
First Name
Last Name
Relationship
Email
Phone
Ex: 303-555-5555
 
About Your Child
First Name
Middle Name
Last Name
Preferred Name
Email
Gender
Date of Birth
School
Grade
2024-2025 School Year
Season Of Interest  
Describe Your Child
Your Child's Interests
Previous Experience at Camp

What pronouns does your child/teen use? 

If my child attends Akeela, we are interested in the following cabin placement (select all that apply): 

In which Camp Akeela program(s) are you most interested? 

Additional comments 

I agree to the Privacy Policy and Terms of Use
Children's privacy is of primary concern to us, and our Policy and practices reflect applicable laws and regulations on children's privacy. We do not knowingly collect personal information from children under 18 years of age. Any communication we get that is identified as being from a child under 18 will be immediately removed from our database. All information gathered from our camp families is used exclusively for camp, and no third-party vendors. We urge parents to regularly monitor and supervise their children's on-line activities.