First name

Last name (including maiden)

Please enter your mailing address

Street address 1

Street address 2

City State

ZIP/Postal Code Country

Phone

Birthday (day and month)

Spouse's name

Children (names and ages)

Do (or did) your children ever attend GG (and when)?

E-mail address

Would you like to include your e-mail address in our GG E-mail Directory?
Yes No

Years attended Geneva Glen? (example1982-1987)

What is your profession?

Which company do you work for?

Check all boxes that apply to you
Camper
Trainee
Crew
CIT
Counselor
Area Head Which one
Ad Staff Year
Other Explain

When you were on staff, what were your main activity areas? (Wrangler/WE/Pool/etc…) Recognition and Awards, please list recognition you received
(Some ideas areArchery awards, Rifle awards, BB King/Queen, Mud King/Queen, Peace Prize, King, Queen, Court, Gold Star, Ladies Bracelet, Silver Spur, Sash, Rose, Iris, Bronze Horseshoe, Ugly Couple Winner, President, VP, Sportsmanship, Camper Banquet, Counselor Banquet, Toast Master/Mistress, etc…)

Favorite camp song

Favorite camp counselor

Favorite camp horse

Favorite camp anything

Please share a favorite memory of your time at Geneva Glen (feel free to include a second sheet - we truly cherish your memories of GG)

We would like information about the success of our leadership training programs to send to foundations for fundraising purposes. Please list all offices (any kind - community, church, business, social, whatever) that you have held

As well as leadership skills, many Alumni credit GG with helping develop their values, self-esteem, decision making skills, moral character, etc… Could you share an example of Geneva Glen's impact on your life?

Please list all siblings, cousins, parents, grandparents, nieces, nephews, aunts, uncles, etc… that attended Geneva Glen

We are always looking for "lost" Camp Family members, is there anyone (family or friends) from your time at GG that you stay in touch with that might like to hear from Geneva Glen? Please share their name and contact information