Kappa Scholarship Endowment Fund, Inc.
KAPPA ALPHA PSI FRATERNITY, INC.
ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER
6343 South Kings Highway, Alexandria, VA 22306
PARENTS PACKET
For
KAMP KAPPA
July 21-26, 2013
Reggie L. Bullock
Kamp Kappa 2013, Chairman
ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER
Kappa Scholarship Endowment Fund, Inc.
Kamp Kappa Youth Development Program
APPLICATION
KAMP KAPPA 2013 July 21-26
Date Received_________
Application #_____
Your Kappa Sponsor Name and Number __________________________________
CHILD’S NAME_____________________________ AGE_________
DATE OF BIRTH___________ ATTEND KAMP KAPPA Before? NO ___ YES___
ADDRESS_______________________________________________
CTY________________________ STATE____________ZIP CODE________
SCHOOL NAME_______________________CITY__________________
E-MAIL ADDRESS _________________________________GRADE ______
Please X for T-Shirts size S___ M___ L___ XL__XXL___ XXXL___ Other___
PARENT/GUARDIAN NAME__________________________________
BUS PHONE________HOME PHONE ___________CELL PHONE_________
PARENT/GUARDIAN NAME________________________________
BUS _________________HOME PHONE ___________CELL PHONE_______
EMERGENCY CONTACT NAME__________________
Phone__________________
Note: Application due ASAP. Medical information due June 1, 2013.
Please bring all medication, to the registration. (July 21, 2013)
Email or Mail information to: Reggie Bullock, 11518 Capstan Drive,
Upper Marlboro Maryland 20772 or Fax 866-888-2884
POC: Reggie Bullock 240-832-5542 e-mail: xbullock@aol.com
Kamp Kappa Camper Information
Please take the time to fill out the questions below.
It does not matter how much or how little you write,
but be sure to answer every question.
Camper’s Name____________________________________Nickname___________________
Have you been to Kamp Kappa before? If so when? ______________________
School________________________________ Grad you are going into_________
Favorite Subject__________________ Least Favorite Subject________________
What is the first thing you do when you get home from school?
__________________________________________________________
What sports do you like to play?_________________________________________
What
your
thingthat
to do
Are there
any is
clubs
or favorite
organizations
you are a member of?
outside?__________________________________________
________________________________________________________________________
What is your least favorite thing about the
Do you outdoors?_____________________________________
have any brothers/sisters? If so how many?______________________
is your
model
Do you Who
have any
pets?role
If so,
what and
do you have? _________________________
why?____________________________________________
What are you excited about doing at Kamp? _____________________________
Is there anything about Kamp that you don’t want to do?__________________
What is your favorite thing to do outdoors? ______________________________
What is your least favorite thing about the outdoors?_____________________
Who is your role model and why? ______________________________________
________________________________________________________________________
ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER
Kappa Scholarship Endowment Fund, Inc.
Kamp Kappa Youth Development Program
Camp information
If you're looking for a great adventure...it starts at
Camp William B. Snyder!!!
The 350-acre Camp William B. Snyder, located in
Haymarket, Virginia is the latest and greatest camping
experience offered by the National Capital Area Council
and the Boy Scouts of America. Camp Snyder, now
operating in our 3rd year serves as a multi-functional
camp that can meet the needs of Packs, Troops, Venture
Crews, Varsity Teams, and other outside organizations
looking to develop a partnership or quality outdoor
experience.
ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER
Kappa Scholarship Endowment Fund, Inc.
Kamp Kappa Youth Development Program
Yes this is where we will be sleeping
KAMP KAPPA
Directions to Camp
Directions to Camp William B. Snyder
Directions to Camp William B. Snyder 6100 Antioch Road,
Haymarket, VA 20169 (571-248-4904) Interactive Map
From the east (Capital Beltway - Route I-495):
• Take Interstate 66 west to exit #40 (Route 15).
• Travel south on Route 15 to the second traffic light and turn right
onto Route 55 (John Marshall Hwy).
• Travel west about 1 mile to Antioch Road.
• Turn right onto Antioch Road and follow sign to Camp Snyder.
From the south:
• Travel north on Route 15 (Warrenton), Route 7100 (Fairfax County Pkwy)
or Route 28 (Manassas) to Interstate 66.
• Travel west on Interstate 66 to exit # 40 (Haymarket, VA).
• Travel south on Route 15 to the second traffic light and turn right onto
Route 55 (John Marshall Hwy).
• Travel west about 1 mile to Antioch Road.
• Turn right onto Antioch Road and follow sign to Camp Snyder.
From the north:
• Travel south on Route 15 (Leesburg), Route 28 (Sterling) or
Route 123 (McLean) to Interstate 66.
• Travel west on Interstate 66 to exit #40 (Haymarket, VA).
• Travel south on Route 15 to the second traffic light and turn right onto
Route 55 (John Marshall Hwy).
• Travel west about 1 mile to Antioch Road.
• Turn right onto Antioch Road and follow sign to Camp Snyder.
KAMP KAPPA
Directions to Camp
Application
KAMP KAPPA
Points of contact
Reggie Bullock
240-832-5542
xbullock@aol.com
Norman Simon
703-868-6676
Clifton Taylor
301-379-2692