Picture of Chrysalis Butterfly

Application Form

Please print and mail your application and consent form or fill out the online application below. If you are filling out the online application, you may email your Consent Form to the Registrar if you chose. Your application process will not be complete until the Consent Form is received and the Registrar has confirmed your completed application. Please make sure all fields with a * are completed before submitting your application. If you've already filled out the application and are looking to pay the registration fee online through PayPal, click here.

  Mail-In Application & Consent Form (PDF) Download Adobe Reader
  Consent Form for Online Application (PDF)
Sponsors must also fill out the Sponsors Agreement for a caterpillar to be accepted for a Chrysalis weekend.

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