Submit an Application

Please print out and return the completed application along with a recent photo and a non-refundable $175.00 application fee to the address below:

P.O. Box 662
Bethlehem, CT 06751-0662

This form is an Adobe PDF (Portable Document Format).
To open and print it, you will need the Adobe Acrobat Reader, available here.

"I really enjoyed the time we spent with the children in Puerto Rico. The times at the YMCA camps and the orphanage were awesome and unforgettable!this trip helped me define the person I am and I learned to appreciate the things that I have and realize how lucky I am."

Myrna Delgado, California
-- Puerto Rico