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Nature Day Camp Junior Counselor Application 2024
To be Filled out by the Potential Junior Counselor
Applicant's Name
*
Applicant's Preferred Pronouns
Applicant's Date of Birth
*
(mm/dd/yyyy)
Applicant's email address (if you have one)
Verify Email
Applicant's phone number (if you have one)
For how many weeks would you like to be a junior counselor this summer?
During which camp sessions would you like to be a junior counselor (choose all the weeks that would work for you)?
*
June 24-28
July 8-12
July 15-19
July 29-August 2
August 5-9
August 12-16
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.
*
To be Filled out by a Parent
First Parent or Guardian's Name
*
First Name
Last Name
First Parent Email
Verify Email
First Parent Phone
Second Parent or Guardian's Name
First Name
Last Name
Second Parent Email
Verify Email
Second Parent Phone
Does your child 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
