Angel Tree Confirmation

Thank you for participating in the Angels Tree Camping Program. To activate your scholarship and ensure your eligibility please complete the form below. Please note that all camper names, ages will need to be provided along with the incarcerated parent information.

Parent/Caregiver's Name *

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Parent/Caregiver's Phone Number

Parent/Caregiver's Email *

Parent/Caregiver's Relationship *

Incarcerated Parent's Name *

Incarcerated Parent's Location *Please ChoosePrisonReleased

Name of Prison *

Children's Information

How many children are you registering? *

• One
• Two
• Three
• Four

Child Name *

First

Last

Child's Date of Birth

Child 2 Name *

First

Last

Child 2 Date of Birth

Child 3 Name *

First

Last

Child 3 Date of Birth

Child 4 Name *

First

Last

Child 4 Date of Birth

Submit