2025 Summer Camp Counselor Application
Note: Youth counselors will be required to stay on property Sunday night through Wednesday night of camp and must attend Counselors Camp, June 2nd-5th.
Counselor Name
*
First Name
Last Name
Gender
*
Male
Female
Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian Phone Number
*
Please enter a valid phone number.
Guardian Email
*
example@example.com
I give my child permission to be a Camp Counselor at Pine Ridge Farm at the below picked dates and allow Stewart County Fire & Rescue to teach CPR training to him/her.
*
Counselor Age at Time of Camp (Must be age 15-17 during Counselor Camp)
*
List any Certifications you already have (i.e. CPR, First Aid)
Which Camp(s) Would You Like To Work (Boys only at Boys Camp & Girls Only at Girls Camp)
*
June 23-26 (Boys Camp Ages 9-12)
June 30-July 3 (Girls Camp Ages 9-12)
July 21-24 (Boys Camp Ages 13-16)
July 28-July 31 (Girls Camp Ages 13-16)
Submit
Should be Empty: