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El Cerrito, Calif. — In some ways, Rainbow Day Camp is very ordinary. Kids arrive with a packed lunch, make friendship bracelets, play basketball, sing songs and get silly. But it is also unique, from the moment campers arrive each morning.

At check-in each day, campers make a nametag with their pronoun of choice. Some opt for “she” or “he.” Or a combination of “she/he.” Or “they,” or no pronoun at all. Some change their name or pronouns daily, to see what feels right.

The camp in the San Francisco Bay Area city of El Cerrito caters to transgender and “gender fluid” children ages 4 to 12, making it one of the only camps of its kind in the world open to preschoolers, experts say. Enrollment has tripled to about 60 young campers since it opened three summers ago, with kids coming from as far as Los Angeles, Washington, D.C. — even Africa. Plans are underway to open a branch next summer in Colorado, and the camp has been contacted by parents and organizations in Atlanta, Seattle, Louisiana and elsewhere interested in setting up similar programs.

On a sunny July morning at camp, the theme was “Crazy Hair Day,” and 6-year-old Gracie Maxwell was dancing in the sunshine as a Miley Cyrus song blasted from outdoor speakers. The freckled, blue-eyed blonde wore her hair in a braid on one side, a pigtail on the other.

“Once she could talk, I don’t remember a time when she didn’t say, ‘I’m a girl,’” said her mother, Molly Maxwell, who still trips over pronouns but tries to stick to “she.”

“Then it grew in intensity: ‘I’m a sister. I’m a daughter. I’m a princess,’” Maxwell said. “We would argue with her. She was confused. We were confused.”

Living in the liberal-minded Bay Area made it easier. The Maxwells found a transgender play group, sought specialists, and at 4 years old, let Gracie grow her hair, dress as a girl and eventually change her name.

“I see her now, compared to before. I watch her strut around and dance and sing and the way she talks about herself. If she was forced to be someone else,” the mother trails off. “I don’t even want to think about that.”

Gender specialists say the camp’s growth reflects what they are seeing in gender clinics nationwide: increasing numbers of children coming out as transgender at young ages. They credit the rise to greater openness and awareness of LGBT issues and parents tuning in earlier when a child shows signs of gender dysphoria, or distress about their gender.

“A decade ago, this camp wouldn’t have existed. Eventually, I do believe, it won’t be so innovative,” camp founder Sandra Collins said. “I didn’t know you could be transgender at a very young age. But my daughter knew for sure at 2.”

Collins’ experience as the mother of a transgender girl, now 9, inspired her to start the camp, and another for 13- to 17-year-olds called Camp Kickin’ It.

“A lot of these kids have been bullied and had trauma at school. This is a world where none of that exists, and they’re in the majority,” Collins said.

There is little comprehensive data on young children who identify as transgender, but experts say as the number of young people coming to their clinics increases, the prevailing medical guidance has shifted.

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