PARENTS PACKET For KAMP KAPPA July 22-27, 2012

1. Kappa Scholarship Endowment Fund, Inc. KAPPA ALPHA PSI FRATERNITY, INC. ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER 6343 South Kings Highway, Alexandria, VA 22306 PARENTS PACKETFor KAMP KAPPA July 22-27, 2012 Reggie L. Bullock Kamp Kappa 2012, Chairman

2. ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER Kappa Scholarship Endowment Fund, Inc. Kamp Kappa Youth Development Program APPLICATION KAMP KAPPA 2012 July 24-27 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 May 31, 2012. Please bring all medication, to the registration. (July 22, 2012) 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

3. 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___________________ Grade you are going into________ School__________________________________________ 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?______________________________________________ Are there any clubs or organizations that you are a member of?_____________________ Do you have any brothers/sisters? If so how many?______________________________ Do you have any pets? If so, what do you have? ________________________________ Have you been to Kamp Kappa before? If so when?______________________________ 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 outside?______________________________________ What is your least favorite thing about the outdoors?______________________________ Who is your role model and why?____________________________________________ What is your favorite thing to do outside?__________________________________________What is your least favorite thing about the outdoors?_____________________________________Who is your role model and why?____________________________________________

4. 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

5. ALEXANDRIA-FAIRFAX (VA) ALUMNI CHAPTER Kappa Scholarship Endowment Fund, Inc. Kamp Kappa Youth Development Program Yes this is where we will be sleeping.

6. 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

7. Application KAMP KAPPADirections to Camp

8. Reggie Bullock 240-832-5542 Norman Simon 703-868-6676 Clifton Taylor 301-379-2692 KAMP KAPPAPoints of contact