Camp Bravehearts
Create an Account
= Required Fields

Primary Contact for account

Enter the information for the primary contact for this account. This person must be an adult.
First Name:

Last Name:

Middle Initial:
Nickname:
Gender:
Birth Date:

mm / dd / yyyy
Address:

City:

State / Province:
*
Zip / Postal Code:

Are You a Current Volunteer for Camp Bravehearts?
*
Type of Volunteer or Staff












*
Would you like to sign up for emails for additional programming options that might happen throughout the year?
*
Primary Phone
*



Alternate Phone:
Ext.



Alternate Phone 2:



E-mail Address:
*
Confirm E-mail Address:
*

Login Information

The username and password must consist only of letters and/or numbers.  No special characters or spaces are allowed.
Username:
Password:
*
Confirm Password:
*
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Camp Bravehearts is a non-profit organization and community based on care and compassion. Our expectation is that each participant will treat all people with dignity and respect, valuing the diversity of all. Discrimination on grounds of race, gender, marital status, disability, age, social class, sexual orientation or religion/ belief is in no way part of our tradition or community. Above all, we believe in respecting the dignity, beliefs and privacy of each participant, placing no belief system above another. As a result we ask that participants not engage in the use of bias, discriminatory or offensive language and/ or compulsory religious instruction.
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