Junior Camp Staff Registration
Personal Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Home/Work Phone
*
-
Area Code
Phone Number
Email
*
example@example.com
Residence Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Basic Requirements
Shirt Size
*
Small
Medium
Large
XL
2X
3X
Are you able and willing to work the entire Camp Week June 7-12, 2026?
*
You understand this is volunteer work?
*
Do you believe you are free of medical conditions that may preclude your participation as a volunteer?
*
Additional Comments
If accepted by the Junior Camp Board, you will be required to attend the entire camp in order to receive Mileage reimbursement. Can you meet this requirement?
*
Position or Assignment Preferred
Please indicate if you have any of the following skills or training
*
CPR
First Aid
PAD/Defibrillation Training
Teacher
Rescue procedure - lifeguard
Crafts and Art
Babysitter
Therapist
General counselor
Other
Previous Volunteer Experience or anything the Director should know - Explain:
Emergency Contact
First Name
Last Name
Relationship to Staff
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Terms and Conditions
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
Should be Empty: