Name:
E-Mail:
Organization and Address are Optional
Organization:
Phone:
Physical Address:
Street:
PO Box Apt No:
City:
State:	Zip:

I would like to become involved in Camp Rubber Soul by:
Attending Camp
Becoming a volunteer counselor. (Camp can accommodate individual volunteers or youth groups of up to 12) Providing other volunteer services.
Performing a summer Internship
Becoming a donor
Sponsoring a child attending camp
The above information can be sent by e-mail and/or by the US Postal Service. Please indicate which you prefer.