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Nature Day Camp Junior Counselor Application 2023
Contact Information
Applicant's Name
*
Parent or Guardian's Name
*
First Name
Last Name
Email
Verify Email
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Applicant's Date of Birth
*
(mm/dd/yyyy)
Applicant's preferred pronouns
She/her
He/him
They/them
During which camp sessions would you like to be a junior counselor (choose as many as you'd like)?
*
June 26-30
July 10-14
July 24-28
August 7-11
August 21-25
For which age group would you like to be a junior counselor?
*
Check one or both
Ages 4-6
Ages 7-12
Why do you want to be a junior counselor for Nature Day Camp?
*
Describe your experience with children.
*
Do you have any medical or behavioral challenges that we should be aware of? Please include information about any allergies.
*
Emergency Contact Name
*
Please indicate the name of the best person to contact in case of an emergency. This can be a parent.
Emergency Contact Phone Number
*
Please indicate the phone number of the best person to contact in case of an emergency. This can be a parent.
Other Comments
