Camp Loma Mar CA Application
Thanks for taking the time to fill out this application! We'll be in touch as soon as possible.
About You
Name
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Today's Date
-
Month
-
Day
Year
Date
School Grade in 2023/2024
Please Select
10th Grade
11th Grade
Gender Identity
Please Select
Male
Female
Non-binary
Preferred Pronouns
Contact Info
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
Parent Info
Parent / Guardian Name
First Name
Last Name
Parent / Guardian Email
example@example.com
Parent / Guardian Phone Number
Please enter a valid phone number.
Tell Us More!
Have you completed the LIT program at a Y camp?
Yes
No
Tell us about any school or community groups, teams, or programs you're a part of:
Describe the experiences you've had working with children:
Would you like to become a Y camp counselor in the future?
Yes
No
Not sure
Tell us about an important role model in your life. Why do you look up to them? What about them do you admire?
Tell us about an accomplishment in your life. This could be something at school, in your free time, etc. Why are you proud of this?
What interests or excites you most about working at Camp Loma Mar?
What are two things you'd like to learn before working with campers at camp?
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