Clone of Music & Arts Camp Counselor Application

Student Counselor Application Form
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade (2026-27 school year)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*
Format: (000) 000-0000.
Parent/Guardian Name*

First NameLast Name
Parent Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Secondary Number
Format: (000) 000-0000.
Camp Availability (9:00-4:00)*

MondayTuesdayWednesdayThursdayFriday (until 5:00)
Before Care Availability (8:00-9:00 am)*

MondayTuesdayWednesdayThursdayFridaynone
After Care Availability (4:00-6:00 pm)*

MondayTuesdayWednesdayThursdaynone
Are you available to attend the training/decorating/setup session on Sunday, June 14 from 12:30-3:00 pm?*

YesNoI'm not sure yet
Why do you want to volunteer for this camp? Describe any experience, special skills or gifts you bring.*
Should be Empty: