Homewood Parks & Recreation Homewood, Alabama Summer Day Camp 2019 Information Packet

Save this PDF as:

Size: px
Start display at page:

Download "Homewood Parks & Recreation Homewood, Alabama Summer Day Camp 2019 Information Packet"

Transcription

1 Homewood Parks & Recreation Homewood, Alabama Summer Day Camp 2019 Information Packet

2 INFORMATION PACKET Camp Dates, Hours & Fees Registration Fee: $100 Due at Registration (Per Camper) Day Camp Sessions 10:00am - 4:00pm Session 1 June 3rd - 28th, 2019 $250 per camper Session 2 July 8th - 26th, 2019 $185 per camper Extended Care Sessions Day Break Care 8:00am - 10:00am Session 1 June 3rd - 28th, 2019 $120 per camper Session 2 July 8th - 26th, 2019 $90 per camper AfterCare 4:00pm - 5:15pm Session 1 June 3rd - 28th, 2019 $100 per camper Session 2 July 8th - 26th, 2019 $70 per camper July 4th Mini Week Session 8:00am - 5:15pm Mini Week - July 1st - 5th, 2019 $120 per camper (No Camp July 4th) <Limited Space for Mini Session> Program Eligibility - Homewood Residents Only Camper Eligibility: Children entering 1st grade through 6th grade Note: Must be age 6 on or before September 1, 2019 in order to be eligible. Day camp does not have unlimited availability; No one is guaranteed a spot in camp. Extended Care Sessions are limited to the first 100 paid campers; and must be enrolled in the corresponding Day Camp session to enroll in the Extended Care Sessions. Registration Procedure Homewood Residents: Registration forms can be dropped off at the Homewood Community Center beginning: Monday, March 4, 2019 at 8:00am. Registrations cannot be dropped off before: Monday, March 4, 2019 at 8:00am Non-Homewood Residents: Not eligible for camp registration * Registrations must contain fully completed forms and registration fee for each camper. Registration fee can be included via check or money order to HOMEWOOD PARKS. Please do not fold registration forms; place in a large flat envelope. If registering multiple children please include all in the same envelope, but use separate checks for each child. Should registration fee not be included, registration will be deemed incomplete and not accepted for consideration. * $100 Registration Fee due for each camper with their registration packet; remaining balance for each camper is due on or before Wednesday, May 15, Please do not include full payment with registration packet. * Registration fee will be deducted from each campers final balance due. If your child is not admitted to camp registration fee will be returned. * Summer Camp does not have unlimited availability. Registrations received the week of March 4th will receive notification by Friday, March 15th; if they have (or) have not been admitted to camp.

3 INFORMATION PACKET Camp Location & Amenities Homewood Community Center & Homewood Central Park 1632 Oxmoor Road Homewood, AL Homewood Community Center & Homewood Central Park Amenities 2 Gymnasiums 8 Lane - Competition Pool Splash Water Playground 4 foot leisure pool with vortex feature 6 Pavilions 2 Tennis Courts Large Playground Open multi-use greenspace Program Description Campers will participate in traditional and non-traditional sports, fun games, swimming, field trips, arts & crafts projects, and more. Trained staff will supervise participants while emphasizing the importance of teamwork, good sportsmanship, and cooperation through games, sports, and group activities. Camp Staff The Summer Camp staff is mostly comprised of college students with experience in recreation, education backgrounds and youth leadership. All staff are background checked, certified in CPR, AED, basic first aid and child abuse prevention. The Summer Camp staff is dedicated to providing a fun and safe environment for each participant. The staff is responsible, qualified, and trained to work with children of all ages. Camp Age Groups Homewood Parks Summer Day Camp will be divided into groups based on the campers upcoming school grade. Campers are placed in the following groups by their grade. (*Groups are subject to change; to allow the most participants an opportunity to attend camp.) 1st Grade Coed 2nd Grade Coed 3rd Grade Coed 4th Grade Coed 5th & 6th Grade Coed What Your Camper will be doing at Camp Normal Daily Activities: may include, dance, arts & crafts, volleyball, basketball, kickball, movies, soccer, table games, playground, outside sports, relay races, four square, arts & crafts and much more. Pool Activities: Lifeguards and the camp staff will be on duty during swim time. Campers will be restricted to certain areas of the pool according to their ability. Campers will be given a swim test prior to participation in any pool activities. Field Trips: Each camp group will have 2 to 3 age specific field trips per camp session. Some examples of past field trips are: McWane Science Center, Birmingham Zoo, Bowling, Pump it Up, Chuck E Cheese and more In addition to field trips we will also have several Special Event Days at Camp! Day Camp Orientation Once registered, campers will be informed of the date and time for our Parent/Camper Orientation. This event will be a chance for parents and campers to come meet their counselors before camp begins. Children with Special Needs Homewood Parks and Recreation will accept children with special needs into our programs, and makes a reasonable effort to accommodate the child without fundamentally altering the camp program. Homewood Parks is not able to provide personal assistants for children with special needs. If a child needs an aide please contact the Camp Director for directions in placing an assistant in our program to aide your child. Questions If you have additional questions about the Summer Camp program please feel free to contact us at *Registration Packet must be completed and turned in for Day Camp Registration to be complete*

4 CAMPER INFORMATION SHEET Name of Camper Male Female Grade in Fall 2019 Address City Zip Date of Birth / / Age as of 9/1/2019 School Attends Parent/Guardian Information: Camper resides with: Both Parents Mother Father Other Name Relationship to Camper Primary Contact Cell Work Name Relationship to Camper Primary Contact Cell Work Emergency Contact Relationship to Camper Phone Doctor s Name Phone Allergies, Physical Limitations and Other Medical Information If additional space is needed for any answers please attach on separate paper Please check your camper s t-shirt size Youth Sm Youth Md Youth Lg Adult Sm Adult Md Adult Lg Adult XL Adult 2X Please List All Persons Authorized to Pick-up Your Child from Day Camp (Parents need to be listed if they will pick-up child - written documentation to add additional persons) Notes Section: Please List any information that we need to know about your camper in this space (If additional space is needed for any answers please attach on separate paper)

5 CONSENT & WAIVER Permission for Fieldtrips, Excursions, and use of Public Facilities I hereby give consent to Homewood Parks and Recreation and its designated staff to take the above named child on walking trips in the neighborhood, public park facilities, special excursions to places of interest in Homewood Parks vans, buses, commercial vehicles, public schools transportation, or rented vans or buses, with the understanding that such trips are under supervision of authorized personnel of Homewood Parks & Recreation and that all possible precautions are taken to insure the health and safety of my child. Initial Child s Health Statement I, the undersigned parent/legal guardian, understand that at a Homewood Parks Day Camp Program, physical activity is a regular part of the program. To the best of my knowledge, my child is in excellent physical health and needs no restrictions (except what is listed on the Registration Form) from strenuous physical activity. If I have any questions regarding my child s health, I understand that it is my obligation to seek professional medical advice and to inform Homewood Parks & Recreation of any restrictions on my child s activities. Initial Important Information Homewood Parks and Recreation strives to conduct its recreation programs and activities in a safe manner and holds the safety of participants in the highest regard. Participants and parents registering their child in recreation programs must recognize however that there is an inherent risk of injury when choosing to participate in any recreation activities. Homewood Parks and Recreation continually strives to reduce such risks and insists that all participants follow safety rules and instructions which have been designed to protect the participant s safety. Please recognize that the City of Homewood / Homewood Parks and Recreation does not carry medical accident insurance for injuries sustained in its programs. Therefore, each person registering themselves or family member/ward for a recreation program/activity should review their own insurance policy for coverage. Homewood Parks and Recreation requires execution of the following Waiver and Release. Your cooperation is greatly appreciated. WAIVER AND RELEASE Please read this form carefully and be aware that in registering yourself and/or your ward to participate in this/these program(s), you will be waiving and releasing all claims of injuries, damages or loss, or claims your ward might sustain through participation in this/these program(s) listed below. Summer Camp As a participant or the parent/guardian of a participant in this program, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I or my ward may sustain as a result of participating in any way associated with the activities of the program. I further agree to indemnify, hold harmless, and defend Homewood Parks and Recreation, the City of Homewood, its officials, agents, servants, representatives, employees and board members from any and all claims for injuries, damages or loss sustained by me or my ward arising out of, connected with, or in any way associated with the activities of the program. In the event of any emergency, I authorize program officials to secure from any licensed hospital, physician and /or medical personnel any treatment deemed necessary of my or my ward s immediate care and agree that I will be responsible of repayment of any and all medical services rendered. I HAVE READ AND FULLY UNDERSTAND THE ABOVE PROGRAM DETAILS, WAIVER AND RELEASE OF ALL CLAIMS AND PERMISSION TO SECURE TREATMENT. Participant s Full Name (Please Print) Signature Parent/Legal Guardian Date

6 REGISTRATION WORKSHEET Name of Camper Male Female Grade in Fall 2019 REGISTRATION FEE Registration Fee * Required for each Camper * $100 per camper DAY CAMP SESSION 1: June 3rd - 28th Please select all desired sessions below Day Camp Session 1: 10:00am-4:00pm $250 per camper Day Break Session 1: 8:00am-10:00am $120 per camper AfterCare Session 1: 4:00pm-5:15pm $90 per camper JULY 4TH MINI WEEK SESSION: July 1st - 5th (No camp July 4th) DAY CAMP SESSION 2: July 8th - 26th July 4th Mini Session: 8:00am-5:15pm $120 per camper Day Camp Session 2: 10:00am-4:00pm $185 per camper Day Break Session 2: 8:00am-10:00am $90 per camper AfterCare Session 2: 4:00pm-5:15pm $70 per camper CAMP FEE DUE AT REGISTRATION $ per camper due with registration packet * Final balance will be given upon notification of camp enrollment(s). Total balance is due on or before, Wednesday, May 15, Information Sheet, Waiver, Payment Worksheet and Registration Fee must be submitted to register BELOW SECTION TO BE COMPLETED BY HOMEWOOD PARKS STAFF Payment Type: All Forms Received: Yes No Date: Time: Staff Member:

7 TRANSPORTATION WAIVER AND RELEASE OF LIABILITY Name of Participant: Date: Activity: Summer Day Camp 2019 Date(s) of Activity: June 3, July 26, 2019 I, the undersigned, hereby request transportation by The Homewood Park and Recreation Board, (HPRB) In consideration of the HPRB providing transportation for me I voluntarily execute this Waiver and Release of Liability. I fully understand that traveling by bus involves risks and dangers of serious bodily injury, including permanent disability, paralysis, and death; these risks and dangers may be caused by my own actions or inactions, the actions and inactions of other drivers or passengers; there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and as between myself and HPRB, I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND RESPONSIBILITY FOR LOSSES, COSTS, and DAMAGES I incur as a result of my participation in the activity. I hereby release, discharge, and covenant not to sue the City of Homewood or The Homewood Park and Recreation Board, its administrators, directors, agents, officers, partners, volunteers and employees ( Releases ) from any and all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releases, or others and I further agree that if, despite this release and waiver of liability, assumption of risk and indemnity agreement, I, or anyone on my behalf, makes claims against any of the Releases, I will indemnify save and hold harmless each of the Releases, from any litigation s expenses, attorney fees, loss, liability, damage, or cost which may incur as a result of such claim. Participant s Signature Date Parent s Signature (If Participant under 18 years old) Date

Y.E.S. Camp Youth Enjoying Summer Camp 2017 registration Form

Y.E.S. Camp Youth Enjoying Summer Camp 2017 registration Form Yes! It s that time again, New Bern Parks and Recreation is sponsoring our 2017 Y.E.S. Summer Camp session for children ages 5yrs- 14yrs. Registration fee is $20.00 for one child and $15.00 per additional

More information

LAKE MARY PARKS & RECREATION DEPARTMENT

LAKE MARY PARKS & RECREATION DEPARTMENT THE CITY OF LAKE MARY PARKS & RECREATION DEPARTMENT CAMP DATES: June 4 th August 3 rd Weekly Sessions (No Camp July 4 th ) CAMP HOURS: 7:30am 5:30pm 7:30am Drop-off 9:00am Activities Begin 5:00pm Camp

More information

CAMP HORIZONS: WEST CABARRUS BRANCH

CAMP HORIZONS: WEST CABARRUS BRANCH 2018 SUMMER DAY CAMP REGISTRATION FORM CAMP HORIZONS: WEST CABARRUS BRANCH (Please Print) Today s Date: CAMPER INFORMATION Camper s Last First: Middle: Child s Code Word: Rising Grade (2018-19 School Year):

More information

GARAYWA CAMP & CONFERENCE CENTER 2019 Summer Missions Day Camp Registration Form

GARAYWA CAMP & CONFERENCE CENTER 2019 Summer Missions Day Camp Registration Form GARAYWA CAMP & CONFERENCE CENTER 2019 Summer Missions Day Camp Registration Form REGISTRATION OPENS JANUARY 3, 2019 A FULL PAYMENT OF $25 PER CAMPER PER DAY MUST BE MAILED WITH THIS COMPLETED REGISTRATION

More information

CAMP MSC SENSATIONAL SUMMER SCIENCE

CAMP MSC SENSATIONAL SUMMER SCIENCE CAMP MSC SENSATIONAL SUMMER SCIENCE Thank you for choosing Camp MSC for your summer camp experience. Our camp programs are designed to be engaging, hands-on, challenging, and of course, fun! All full day

More information

$125 per student / per week

$125 per student / per week Located on the campus of The Foundation Academy Campus 3675 San Pablo Rd S., Jacksonville, FL 32224 6 weeks - June 17 July 26 8am ~ 5pm Extended Care is Available from 5pm ~ 6pm for an additional $10 fee

More information

City of St. Gabriel. June 1 st July 31 st

City of St. Gabriel. June 1 st July 31 st City of St. Gabriel June 1 st July 31 st Registration $60 (Non-refundable) $40 per additional child Weekly Fees Weekly Extended Care Fees $50-1 st child $10 1 st child $40 - per additional child $5 per

More information

CAMP MCCUMBER. Overnight Camp. Camp Dates: Session I: July 8-July 14, 2018 Session II: July 29- August 4, 2018 Expedition Camp Theme

CAMP MCCUMBER. Overnight Camp. Camp Dates: Session I: July 8-July 14, 2018 Session II: July 29- August 4, 2018 Expedition Camp Theme CAMP MCCUMBER Overnight Camp Going into 3rd -9th Grade Camp Dates: Session I: July 8-July 14, 2018 Session II: July 29- August 4, 2018 Expedition Camp Theme 2018 OVERNIGHT CAMP YMCA Camp McCumber Registration

More information

Golden Rams Adventure Day Camps Registration Packet

Golden Rams Adventure Day Camps Registration Packet Golden Rams Adventure Day Camps Registration Packet Welcome to Golden Rams Adventure Day Camps! We are so excited that you are joining us for this wonderful opportunity this summer! Located on West Chester

More information

Camp WAMP at Deer Lake CAMP APPLICATION 2018 SCHEDULE. Mail to: Shae Jewell 4848 Starflower Drive Martinez, CA

Camp WAMP at Deer Lake CAMP APPLICATION 2018 SCHEDULE. Mail to: Shae Jewell 4848 Starflower Drive Martinez, CA Camp WAMP at Deer Lake CAMP APPLICATION 2018 SCHEDULE Please check the session in which you wish to enroll. Mail to: Shae Jewell 4848 Starflower Drive Martinez, CA 94553 shae@wamplerfoundation.org CAMP

More information

2017 Critter Camp Humane Society of Carroll County

2017 Critter Camp Humane Society of Carroll County Humane Society of Carroll County Dear Parent/Guardian: We are excited to have your camper join us for Critter Camp at the Humane Society of Carroll County this summer? Our goal is for children to develop

More information

2018 Junior Lifeguard Camp Registration

2018 Junior Lifeguard Camp Registration Sign up for A power packed week of coaching in first aid, water safety, team building, CPR & rescue techniques for only $329.99. Sessions fill up quickly! Participant Name: DOB: Age: Grade in Fall 2018:

More information

Berkeley Echo Lake Camp Artist-In-Residence Application Form 2018

Berkeley Echo Lake Camp Artist-In-Residence Application Form 2018 Berkeley Echo Lake Camp Artist-In-Residence Application Form 2018 Echo Lake Camp Artist-In-Residence (AIR) Program We are looking forward to another great season of Echo Lake Family Camp, including our

More information

Covington, GA CAMP SOUTH SOUL SURVIVOR TEAM CHALLENGE! You Are Invited!

Covington, GA CAMP SOUTH SOUL SURVIVOR TEAM CHALLENGE! You Are Invited! CAMP SOUTH SOUL SURVIVOR TEAM CHALLENGE! Covington, Georgia * July 27 th 31 st, 2015 You Are Invited! Camp South is a WELS Bible camp where youth Share Our Unity Through Him. At Camp South, children enjoy

More information

Providence Rowing Camp at Brown University

Providence Rowing Camp at Brown University RESIDENTIAL CAMPER CHECK-IN/OUT (Time & Location) Time Date Location Monday 1:00 2:00 pm August 13 (Monday) Hunter S. Marston Boathouse Friday Check out no earlier than 12:00 pm on Friday (Campers will

More information

Dear Camper and Family:

Dear Camper and Family: Dear Camper and Family: We are excited about this year s Growing Together Day Camp, Monday June 20 through Friday June 24 and hope that you will join us for a week of fun and adventure at Camp Tyler. CAMP

More information

BREA SUMMER DAY CAMP! June 18 August 24, 2018

BREA SUMMER DAY CAMP! June 18 August 24, 2018 BREA SUMMER DAY CAMP! June 18 August 24, 2018 Dear Parents of Day Camp Participant: The City of Brea proudly announces the beginning of the 2018 Summer Day Camp Program. This year s program will take place

More information

Summer Camp at Wesley Gardens 2016 Registration

Summer Camp at Wesley Gardens 2016 Registration Summer Camp at Wesley Gardens 2016 Registration Camper Information (Please use a separate form for each camper) Camper s Name Goes by Camper s Age Grade Fall 2015 Male/Female Home Address City/State Zip

More information

Dubuque County Conservation Board Summer Camp Schedule

Dubuque County Conservation Board Summer Camp Schedule Dubuque County Conservation Board Summer Camp Schedule The following camps will be offered the summer of 2016 at the Swiss Valley Nature Center. Please pay close attention to the details of the camps ages,

More information

Dear Parents and Campers:

Dear Parents and Campers: Dear Parents and Campers: Welcome to MAX Summer Camp! We are looking forward to another great summer filled with awesome field trips and exciting activities! We have made some changes so please read through

More information

Summer Camp at Wesley Gardens

Summer Camp at Wesley Gardens Summer Camp at Wesley Gardens An outreach of Wesley Monumental UMC Summer Camp at Wesley Gardens is a summer day camp experience for children who have completed kindergarten through fifth grade. We are

More information

IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS

IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS Session One will be Sunday, July 27 to Friday, August 1, 2014 (Winder, GA). The ages for this session are ages 7 to 28. Campers will be in cabins with

More information

IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS

IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS IMPORTANT INFORMATION FOR CAMP BIG HEART APPLICANTS PLEASE NOTE OUR NEW LOCATION AT CAMP JOHN HOPE FFA-FCCLA CENTER IN FORT VALLEY, GA. 281 Hope Entrance Road, Fort Valley, GA 31030 Session One will be

More information

Camp Courage I May 17-19, 2019 Pre-Camp May 6, 2019 Camp Courage II October 4-6, 2019 Pre-Camp September 23, 2019

Camp Courage I May 17-19, 2019 Pre-Camp May 6, 2019 Camp Courage II October 4-6, 2019 Pre-Camp September 23, 2019 Dear Prospective Camper and Parent/Guardian: We are so pleased that you are considering Camp Courage as a way of supporting your child in dealing with the death of a significant person in their lives.

More information

Sunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12!

Sunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12! Sunday, August 12 Saturday, August 18, 2018 We welcome campers entering grades 3 ~ 12! We expect every space to be filled up, so get your application in early! Deadline Date: June 30, 2018 After June 30th,

More information

DAY CAMPS. Summer IONA COLLEGE CAMPS BEGIN JUNE 26, 2017 HYNES GYMNASIUM OPEN HOUSE. March 29 at 6:00 pm April 29 at 10:00 am

DAY CAMPS. Summer IONA COLLEGE CAMPS BEGIN JUNE 26, 2017 HYNES GYMNASIUM OPEN HOUSE. March 29 at 6:00 pm April 29 at 10:00 am IONA COLLEGE 2017 Summer DAY CAMPS CAMPS BEGIN JUNE 26, 2017 HYNES GYMNASIUM For more information, contact Mike Reddington at mreddington@iona.edu or visit us on the web at: www.iona.edu/summercamp OPEN

More information

Lisa Nikkila Jennifer Lindstrom Jamie Garcia

Lisa Nikkila Jennifer Lindstrom Jamie Garcia . The generated form will need to be changed as well. Dear Camp Clarita Parents: The City of Santa Clarita s, Recreation, and Community Services Department welcomes you to Camp Clarita! Camp Clarita exists

More information

*MUST have independent bathroom skills.

*MUST have independent bathroom skills. Town of Crawford Summer Camp 2018 CAMPER REGISTRATION PACKET SUBMIT ONE PACKET PER CAMPER Five Weeks Camp Dates: Monday June 25 Friday July 27 CAMP IS CLOSED ON July 4 Camp runs weekdays: 9:00am-1:00pm

More information

Clark's Self Defense Karate Adventure Summer Camp

Clark's Self Defense Karate Adventure Summer Camp Clark's Self Defense Karate Adventure Summer Camp Our Summer Karate Camp is one of the most unique summer camps available to children. It provides an enriching selection of self defense activities as well

More information

Covington, GA CAMP SOUTH SOUL SURVIVOR TEAM CHALLENGE! You Are Invited!

Covington, GA CAMP SOUTH SOUL SURVIVOR TEAM CHALLENGE! You Are Invited! CAMP SOUTH SOUL SURVIVOR TEAM CHALLENGE! Covington, Georgia * July 28 th August 1 st, 2014 You Are Invited! Camp South is a WELS Bible camp where youth Share Our Unity Through Him. At Camp South, children

More information

2018 Application. Easy Online Enrollment: Application valid 1/16/18. New Jr. Camp Pricing!

2018 Application. Easy Online Enrollment:  Application valid 1/16/18. New Jr. Camp Pricing! FAMILY INFORMATION 2018 Application Easy Online Enrollment: WWW.SLDC.COM Application valid 1/16/18 New Jr. Camp Pricing! 30 YEARS S L D C Celebrating Our 30th Anniversary! Family Name Home Phone Address

More information

GARAYWA CAMP & CONFERENCE CENTER 2018 Summer Missions Camp Registration Form

GARAYWA CAMP & CONFERENCE CENTER 2018 Summer Missions Camp Registration Form GARAYWA CAMP & CONFERENCE CENTER 2018 Summer Missions Camp Registration Form A FULL PAYMENT OF $185 PER CAMPER MUST BE MAILED ON OR AFTER JANUARY 4th WITH THIS COMPLETED REGISTRATION FORM TO Garaywa Camp

More information

Camper Information Form

Camper Information Form Camper Information Form One form per participant Print clearly and legibly Completed form required for participation Must be completed by parent or legal guardian Must be received one week prior camp CAMPER

More information

STARBASE 2018 Indianapolis Summer Camp Programs. This packet contains all the forms necessary to apply.

STARBASE 2018 Indianapolis Summer Camp Programs. This packet contains all the forms necessary to apply. 1 STARBASE 2018 Indianapolis Summer Camp Programs. This packet contains all the forms necessary to apply. All Indianapolis camp programs run from: 9:00 AM - 2:30 PM. Parents/guardians and friends are encouraged

More information

Student Camper s Name Age: Student Camper s Name Age: Student Camper s Name Age: Junior Counselor s Name Age: Junior Counselor s Name Age:

Student Camper s Name Age: Student Camper s Name Age: Student Camper s Name Age: Junior Counselor s Name Age: Junior Counselor s Name Age: St. Rita School Summer Camp Program Registration Page 1 Please print out this form and complete it in its entirety. Return or mail this registration form AND all required medical forms to: ST. RITA SCHOOL

More information

VOYAGERS CAMP A Traveling Camp

VOYAGERS CAMP A Traveling Camp YMCA of Montclair VOYAGERS CAMP A Traveling Camp Information Packet 1 Greetings! Your child will want to stay a teen forever after spending the summer in the Y Voyagers Camp! Our goal is to provide a fantastic

More information

2018 Alabama Volleyball Camps

2018 Alabama Volleyball Camps 2018 Alabama Volleyball Camps ELEMENTARY CAMP (JUNE 4) $75 Commuter Check-in: 8:45 a.m. 9:15 a.m. Camper Pick-up: June 4-3:15 p.m. (Foster) Ages: Kindergarten to 6th grade Skill level: beginner MIDDLE

More information

CAMP ECHO PAYMENT & ENROLLMENT POLICIES

CAMP ECHO PAYMENT & ENROLLMENT POLICIES PAYMENT OPTIONS When you register for camp, you will pay a deposit, which is applied to the camp fee; deposits are non-refundable unless the McGaw YMCA cancels your program or if the camper is on a waitlist.

More information

2018 SUMMER CAMP CHAMBERSBURG YMCA

2018 SUMMER CAMP CHAMBERSBURG YMCA 2018 SUMMER CAMP CHAMBERSBURG YMCA www.chbgy.org Weekly Summer Camp Fee: $45.00 Members / $60.00 Non-member a week Registration and Payment Options: Early Bird Registration ends April 30, 2018 * Receive

More information

State Kids Camp 16 July 6th-9th At Camp Victory in Mannford

State Kids Camp 16 July 6th-9th At Camp Victory in Mannford State Kids Camp 16 July 6th-9th At Camp Victory in Mannford Completed 2 nd - 5 th Grades $150/camper + $15 snack shack & RC Kids Camp shirt (Camp Victory shirts can be purchased for an additional $10)

More information

WHY. Search Blue Mash Golf Camp on YouTube to view fun videos of the past years of Summer Camp!

WHY. Search Blue Mash Golf Camp on YouTube to view fun videos of the past years of Summer Camp! WHY? The Areas Best Practice Facility- Blue Mash has the area s most immaculate and incredible practice facility featuring an all grass driving range tee. Your campers will receive instruction at our 10,000

More information

FOR MORE INFORMATION:

FOR MORE INFORMATION: CADILLAC AREA YMCA 9845 CAMPUS DRIVE CADILLAC, MI 49601 NONPROFIT ORGANIZATION U.S. POSTAGE PAID PERMIT NO. 63 CADILLAC, MI Early Bird Registration Register before April 1st SAVE $10 total fees For single

More information

Application for Membership

Application for Membership Personal Information Application for Membership First Name Street Last Name City Home Phone Cell Phone Flying Goals State Work Phone Email Zip x Pilot Information Date of Birth Last Medical Last Flight

More information

July 12-15, Return to: Delta Pride c/o A-State Wesley P.O. Box 2775 State University, AR 72467

July 12-15, Return to: Delta Pride c/o A-State Wesley P.O. Box 2775 State University, AR 72467 July 12-15, 2017 Return to: Delta Pride c/o A-State Wesley P.O. Box 2775 State University, AR 72467 Important Numbers: Sam Meadors, Wesley Director 501.650.0565 Samantha Black, DP Director 479.629.4735

More information

Bradbury Boarding Camp Luxury Pet Lodge & Country Resort Camper Application

Bradbury Boarding Camp Luxury Pet Lodge & Country Resort Camper Application New Camper Updated Information Additional Family Member 1635 Rd 136 Cheyenne, Wy 82009 (307) 634.6470 Bradbury Boarding Camp Luxury Pet Lodge & Country Resort Camper Application Guardian s/owner s Name

More information

MYFGA 2018 Summer Camp Application RETURN THIS PAGE

MYFGA 2018 Summer Camp Application RETURN THIS PAGE MYFGA 2018 Summer Camp Application RETURN THIS PAGE Please complete application and health physical and mail all completed forms to: Maine Youth Fish and Game Association - PO Box 337 - Stillwater, ME

More information

FROM THE OCEAN TO THE LAKE

FROM THE OCEAN TO THE LAKE FROM THE OCEAN TO THE LAKE Channel Islands YMCA Sleepaway Camp 2018 Registration Packet YMCA CAMP FOX: School Age Camp Junior High Camp YALP (Youth and Leadership Program) YMCA SEQUOIA LAKE CAMP: Youth

More information

Dragon s Lair Comics & Fantasy Summer Day Camp Information Sheet

Dragon s Lair Comics & Fantasy Summer Day Camp Information Sheet Dragon s Lair Comics & Fantasy Summer Day Camp Information Sheet Please select from the box(es) below which camp your child will be attending: Pokémon Camp June 12-16, 2017: 12-5 pm each day Magic the

More information

CAMPS BEGIN JUNE 25, 2018 HYNES GYMNASIUM

CAMPS BEGIN JUNE 25, 2018 HYNES GYMNASIUM CAMPS BEGIN JUNE 25, 2018 HYNES GYMNASIUM For more information, contact Mike Reddington at mreddington@iona.edu or visit us on the web at: www.iona.edu/summercamp OPEN HOUSE February 24 at 10:00 am March

More information

Safari Camp. Parents Information Packet. What does one find on Safari? New Friends Sports & Games Arts & Crafts Swimming Weekly Field Trips

Safari Camp. Parents Information Packet. What does one find on Safari? New Friends Sports & Games Arts & Crafts Swimming Weekly Field Trips Safari Camp Parents Information Packet What does one find on Safari? New Friends Sports & Games Arts & Crafts Swimming Weekly Field Trips Mission Statement It is the intent and purpose of the Biddeford

More information

CAMP (2267) Welcome to Banbury Kids Camp 2017!!! To register a camper for Banbury Kids Camp, you must include the following:

CAMP (2267) Welcome to Banbury Kids Camp 2017!!! To register a camper for Banbury Kids Camp, you must include the following: 647-526-CAMP (2267) Welcome to Banbury Kids Camp 2017!!! To register a camper for Banbury Kids Camp, you must include the following: 1) The Camper Application Form (One per family) 2) Swim Form (One per

More information

PRINCETON FAMILY YMCA 2018 SUMMER CAMP EMPLOYMENT PACKET

PRINCETON FAMILY YMCA 2018 SUMMER CAMP EMPLOYMENT PACKET Dear Applicant: Thank you for applying for a position with the Princeton Family YMCA Summer Day Camp! We are excited about the upcoming summer, as I m sure you are about potential employment with our organization.

More information

2018 Medical Waiver and Release

2018 Medical Waiver and Release 2018 Medical Waiver and Release I hereby give my consent to the Summer Camps at Avon Old Farms School personnel to provide, through a medical staff of its choice, customary medical attention and emergency

More information

2018 Summer Camp Registration Please select which camp your child(ren) will be attending

2018 Summer Camp Registration Please select which camp your child(ren) will be attending 1515 N. Galloway Avenue Mesquite, Texas 75150 972.216.6260 www.cityofmesquite.com 2018 Summer Camp Registration Please select which camp your child(ren) will be attending Kidz Kamp Sports Camp Camper Information

More information

Screaming Eagle Honor Flight Veterans Application LAST NAME: DATE RECEIVED: / /

Screaming Eagle Honor Flight Veterans Application LAST NAME: DATE RECEIVED: / / Screaming Eagle Honor Flight Veterans Application LAST NAME: DATE RECEIVED: / / VETERAN OF: TERMINALLY ILL: YES NO MEDICAL: YES NO WHEEL CHAIR OXYGEN OTHER Dietary Restrictions: - - - - - - - - - - - -

More information

Summer Camps 2018 Family Information Guide, Policies and Required Forms

Summer Camps 2018 Family Information Guide, Policies and Required Forms Please keep this page for your records Summer Camps 2018 Family Information Guide, Policies and Required Forms Welcome! We re glad you re here, and we hope you re ready for adventure! We ve put together

More information

Camp Forever August 24-26, 2018

Camp Forever August 24-26, 2018 Camp Forever August 24-26, 2018 Registration is open for all eligible families on July 1, 2018. Completed registration packets can be submitted as follows: 1) By mail, along with a check made out to KBYH

More information

CAMP SUNRISE LAKE 2019 REGISTRATION

CAMP SUNRISE LAKE 2019 REGISTRATION CAMP SUNRISE LAKE 2019 REGISTRATION Photo: Please attach a 2x3 photo of the camper to this application. Camper Address Camper lives with: Both parents Mother Father Guardian(s) Home Address (Street): City,

More information

Phone: Please complete and fax to Shore Lodge at: Attn: Camp Sharlie. Camper #1 Name: Male/ Female: Camper #2 Name: Male/ Female:

Phone: Please complete and fax to Shore Lodge at: Attn: Camp Sharlie. Camper #1 Name: Male/ Female: Camper #2 Name: Male/ Female: Phone: Please complete and fax to Shore Lodge at: 208-634-7504 Attn: Camp Sharlie Camper #1 Name: Male/ Female: Date of Birth: Age: Camper #2 Name: Male/ Female: Date of Birth: Age: Billing Address: Zip

More information

Parent Permission for Educational Enrichment Activities (white) Challenge/Adventure Program Waiver Camp Campbell Gard (tan)

Parent Permission for Educational Enrichment Activities (white) Challenge/Adventure Program Waiver Camp Campbell Gard (tan) We hope everyone is as excited as we are for our Camp Campbell Gard trip on May 15th and 16th. The leaders at Camp Campbell Gard have many fun activities planned for us including: a hayride, night hikes,

More information

Camper Information. New Garden Flying Field July 9-13 August 6-10

Camper Information. New Garden Flying Field July 9-13 August 6-10 ! 2018! Camper Information New Garden Flying Field July 9-13 August 6-10 www.newgardenflyingfield.com 2018 Future Aviators Summer Camp New Garden Flying Field, Toughkenamon PA. 610-268-2619 Camper Information

More information

ACES SUMMER CAMP SW 32 Blvd West Park, Fl

ACES SUMMER CAMP SW 32 Blvd West Park, Fl Dear Parents/Guardians, ACES SUMMER CAMP 2017 3600 SW 32 Blvd West Park, Fl 33023 954-989-8886 Summer is approaching quickly! We will be offering Summer Camp from June 15th thru August 4th. Please be mindful,

More information

To: Students interested in YMCA Camp Wapsie LIT/CIT Program for 2018

To: Students interested in YMCA Camp Wapsie LIT/CIT Program for 2018 To: Students interested in YMCA Camp Wapsie LIT/CIT Program for 2018 Hello! I hope all is well and school is off to a great start for you! Summer camp 2017 may be over but camp is still busy with visiting

More information

Completing the Camp Voucher Application Summer 2017

Completing the Camp Voucher Application Summer 2017 Completing the Camp Voucher Application Summer 2017 1. Fill out Camp Voucher Program Application complete entire 2 page application including legal guardian signature in 2 places. 2. Read, Sign and Date

More information

South Shore Stars 2015 Summer Camp and Fall Enrollment

South Shore Stars 2015 Summer Camp and Fall Enrollment My child is in the grade, and attends After School Program. South Shore Stars 2015 Summer Camp and Fall Enrollment Child s Name(s) Parent s/guardian s Name Home Phone Work Phone Email Address Your child

More information

Registration Information and Fees

Registration Information and Fees South Shore Day Camp 2015 Registration Information and Fees Parent Information Name: Address: Town: Zip: Home Phone: Work Phone: Cell Phone: Parent s Email address: Parent s Email address: Please circle

More information

Camper Registration Form 6/10/14

Camper Registration Form 6/10/14 Camper Registration Form 6/10/14 Camper Name M or F Birthdate Mailing Address City State Zip Parent(s)/Guardian(s) Home Phone ( ) Cell Phone ( ) Work Phone ( ) Parent/Guardian Employer and Street Address

More information

SAGA CAMP ADMINISTRATION DIRECTOR Paola Brandolini Clumsy : 905-855-5001 ext. 24 (after May 7) summercamps@clarksonchurch.ca www.clarksonchurch.ca/saga CHARTWELL BAPTIST CHURCH Tammy Pierce, Office Manager

More information

Camper Application. DATE: Monday-Friday, June 18 - July 27 (Excluding July 4) 9 am - 12 noon. FREE! [Member] $20 [Non-Member]

Camper Application. DATE: Monday-Friday, June 18 - July 27 (Excluding July 4) 9 am - 12 noon. FREE! [Member] $20 [Non-Member] Camper Application Greetings Parents & Campers! The Greater Elizabethtown Area Recreation & Community Services is proud to announce our Camp Ladybug 2018 theme: Exploring Nature!! Camp is for individuals

More information

2019 SUMMER CAMP. June 10 August 9. NORTHFIELD PARK DISTRICT northfieldparks.org

2019 SUMMER CAMP. June 10 August 9. NORTHFIELD PARK DISTRICT northfieldparks.org 2019 SUMMER CAMP June 10 August 9 NORTHFIELD PARK DISTRICT northfieldparks.org 847.446.4428 Northfield Park District Summer Camp June 10 August 9, 2019 (9 weeks) Camps for ages 3 years old 8th grade Counselor

More information

Villages Honor Flight

Villages Honor Flight Guardian Requirements and Application Instructions Guardians have a very important role in the mission of Villages Honor Flight. Guardians are the volunteers who escort/assist veterans during the entire

More information

Camper Application. Legal Guardian #1 Information. Legal Guardian #2 Information: Family Status: Mailing Address: Address: City: State: Zip:

Camper Application. Legal Guardian #1 Information. Legal Guardian #2 Information: Family Status: Mailing Address: Address: City: State: Zip: Camper Application Legal Guardian #1 Information First Name: Last Name: Relationship to Camper: Home Phone: Cell Phone: Work Phone: E-mail: Legal Guardian #2 Information: First Name: Last Name: Relationship

More information

CAMP PEP APPLICATION 2018

CAMP PEP APPLICATION 2018 Page 1 of 12 CAMP PEP APPLICATION 2018 Programs Employing People 1200 S. Broad St, Philadelphia, PA 19146 Phone: (215) 389-4006 FAX: 215-389-5228 E-mail: info@pepservices.org INSTRUCTIONS FOR COMPLETING

More information

Town of Crawford Summer Camp 2016 CAMPER REGISTRATION PACKET PLEASE SUBMIT ONE PACKET PER CAMPER

Town of Crawford Summer Camp 2016 CAMPER REGISTRATION PACKET PLEASE SUBMIT ONE PACKET PER CAMPER Town of Crawford Summer Camp 2016 CAMPER REGISTRATION PACKET PLEASE SUBMIT ONE PACKET PER CAMPER 2016 Camp Dates: Monday June 27 Friday July 29 CAMP IS CLOSED ON Monday July 4 Camp runs weekdays: 9:00am-1:00pm

More information

On the final day of Camp Treppie, teams present ideas to a panel of business consultants and receive valuable feedback.

On the final day of Camp Treppie, teams present ideas to a panel of business consultants and receive valuable feedback. a 5-Day Leadership Experience for Budding Entrepreneurs OVERVIEW Camp Treppie is a five-day summer camp for youth between the ages of 10½- 14 (June 16-22) and youth between the ages of 14½ - 18 (June 25-29)

More information

These forms are good for any camps this summer unless you need to update the information; submit one per child.

These forms are good for any camps this summer unless you need to update the information; submit one per child. Dear Parent: Thank you for registering your child(ren) in our MJC Community Education Camps for Kids Summer program. We are excited about all of the wonderful offerings we have. With the variety of classes

More information

YMCA Teens in Action Summer Camp Enrollment Form 2019

YMCA Teens in Action Summer Camp Enrollment Form 2019 June 10-14 June 17-21 June 24-28 July 1-5 July 8-12 July 15-19 July 22-26 July 29 - Aug. 2 Office Use only Date received: Extra Hands? (if so) Approval date: Weekly/Monthly Fee Entered into Daxko: YMCA

More information

CAMP MONTESSORI. Summer June 4 th July 27 th

CAMP MONTESSORI. Summer June 4 th July 27 th CAMP MONTESSORI Summer 2018 June 4 th July 27 th Join us this summer as we challenge our bodies and minds at the Camp Montessori Olympic Games! Learn and play sporting games from around the globe. Sharpen

More information

4-H Adventure Camp Counselor Program

4-H Adventure Camp Counselor Program 4-H Adventure Camp Counselor Program 4-H Adventure Camp Counselors have a unique opportunity to meet and work with teens, adults, and youth while having a fun outdoor experience and developing leadership

More information

2018 Summer Camp Packet

2018 Summer Camp Packet WOR LD CL A S S M A S T E R ' S C H O N G 2018 Summer Camp Packet for registered campers Lancaster Location IMPORTANT: The last 3 pages of this packet must be filled out and turned in no later than June.

More information

2017 CAMP SHORELINE SUMMER CAMP PARENT/CAMPER INFORMATION GUIDE

2017 CAMP SHORELINE SUMMER CAMP PARENT/CAMPER INFORMATION GUIDE 2017 CAMP SHORELINE SUMMER CAMP PARENT/CAMPER INFORMATION GUIDE WELCOME TO CAMP SHORELINE! This handout contains all the information you need to prepare your child for their first day at camp. If you have

More information

All Saints High School WORKCAMP 2015

All Saints High School WORKCAMP 2015 All Saints High School WORKCAMP 2015 When? Saturday, June 20 Friday, June 26, 2015 Departure from All Saints June 20 st, 1:30pm Homecoming at All Saints June 26 th, approx. 3:30pm Where? WITHIN THE DIOCESE

More information

The Day Camp at Rectory School P. O. Box 68 Pomfret, CT (860) The Day Camp at Rectory School Checklist 2018

The Day Camp at Rectory School P. O. Box 68 Pomfret, CT (860) The Day Camp at Rectory School Checklist 2018 The Day Camp at Rectory School Checklist 2018 Application Deposit (Due June 1, 2018) Health Examination Form (both sides) Insurance Verification DKH Hospital Agreement Early Pick Up and Late Drop Off (optional)

More information

Application Check List

Application Check List Criminal Justice Camp 2019 Entry Deadline for all camps: March 29, 2019 (Applications MUST be Postmarked by this date.) Session I: June 9-13 Session II: June 23-27 Session III: July 7-11 Session IV: July

More information

2018 Day Camp Dates See you this summer!

2018 Day Camp Dates See you this summer! DearKidsandParents, ItistimetogetreadyforCampRiseAbove!Weareexcitedtoinviteyouto our2018campsession,andhaveoutlinedbelowwhatourdayswillbe like.wehavealsoincludeda WhattoBring listonthebackofthispage. Ifyouwouldliketoattend,weaskyoutofilloutthe:

More information

All Saints High School WORKCAMP 2014

All Saints High School WORKCAMP 2014 All Saints High School WORKCAMP 2014 When? Saturday, June 21 Friday, June 27, 2014 Departure from All Saints June 21 st, 1:30pm Homecoming at All Saints June 27 th, approx. 3:30pm Where? WITHIN THE DIOCESE

More information

Dates Theme Field Trip Entertainment

Dates Theme Field Trip Entertainment Camp Kodiak Summer Day Camp - Outdoor Games - - Weekly Field Trips - - Fantastic Food Fridays - - Weekly Entertainers - Camp Kodiak Information Day Camp Hours: 9:00 a.m-3:00 p.m. Cost: $85.00 Extended

More information

Camp AB Summer Day Camp June 5, 2017 August 4, :00 am 5:00 pm Extended Day 7:00 am 6:00 pm

Camp AB Summer Day Camp June 5, 2017 August 4, :00 am 5:00 pm Extended Day 7:00 am 6:00 pm Abyssinia Baptist Church 10325 Interstate Center Drive Jacksonville, Florida 32218 Phone: 904-696-1770 Web: www.abyssinia.org email: ehopkins@abyssinia.org Camp AB Summer Day Camp June 5, 2017 August 4,

More information

Caballo Kids Camp at MTRA Marion Therapeutic Riding Association, Inc SE 41 st Court, Ocala, Florida (352)

Caballo Kids Camp at MTRA Marion Therapeutic Riding Association, Inc SE 41 st Court, Ocala, Florida (352) MTRA s Equestrian and Horsemanship Summer Day Camp Application Camper Name: Date of Birth: / / Age: Street Address: Apt #: City: State: Zip Code: Are you enrolling more than one child from your household?

More information

Indian Valley Boys & Girls Club 2018 Summer Day Camp Registration Form PLEASE CIRCLE SHIRT SIZE: CAMPERS NAME: HOME PHONE: ADDRESS:

Indian Valley Boys & Girls Club 2018 Summer Day Camp Registration Form PLEASE CIRCLE SHIRT SIZE: CAMPERS NAME: HOME PHONE: ADDRESS: Indian Valley Boys & Girls Club 2018 Summer Day Camp Registration Form CAMPERS NAME: HOME PHONE: ADDRESS: CITY: ZIP CODE: AGE: GENDER: *I UNDERSTAND THAT REGISTERING MY CHILD AFTER MAY 18 TH WILL RESULT

More information

There will be no refunds.

There will be no refunds. Flint Park Day Camp Application- 2015 Camp Dates: July 6 th August 14 th In order for application to be accepted: 1. Application must be completed in its entirety. Immunization Records must be printed

More information

Whitetail Resort Adventure Camp 2018

Whitetail Resort Adventure Camp 2018 Whitetail Resort Adventure Camp 2018 Our mission is to provide the ideal outdoor environment and a unique opportunity for children to learn valuable skills and make new friends through programs that are

More information

MATT MCMAHON BASKETBALL CAMPS, LLC 2018 TEAM CAMP. 1

MATT MCMAHON BASKETBALL CAMPS, LLC 2018 TEAM CAMP.   1 MATT MCMAHON BASKETBALL CAMPS, LLC 2018 TEAM CAMP www.mattmcmahonbasketballcamps.com 1 MATT MCMAHON 2018 BASKETBALL CAMPS, LLC APPLICATION Please complete this application and return it to the address

More information

St. Pius X Parish School

St. Pius X Parish School St. Pius X Parish School Join us for A Summer Filled With Adventure! Summer Camp 2016! Welcome to the St. Pius X Parish School Pirates and Princesses 2016 Summer Camp! There s something timeless about

More information

Indian Valley Boys & Girls Club 2017 Summer Day Camp Registration Form

Indian Valley Boys & Girls Club 2017 Summer Day Camp Registration Form 2017 Summer Day Camp Registration Form CAMPERS NAME: HOME PHONE: ADDRESS: CITY: ZIP CODE: DATE OF BIRTH: AGE: MALE OR FEMALE: CURRENTLY LIVES WITH (CIRCLE ONE): MOTHER FATHER BOTH OTHER (PLEASE WRITE):

More information

Camp Forms In this section, you will find all the forms mentioned in the contents of the Leader s Guide. Feel free to copy these forms as necessary.

Camp Forms In this section, you will find all the forms mentioned in the contents of the Leader s Guide. Feel free to copy these forms as necessary. Camp Forms In this section, you will find all the forms mentioned in the contents of the Leader s Guide. Feel free to copy these forms as necessary. - 2 - Camp Conestoga Medical and Health History Record

More information

Preregistration for camp is required. Please notify STRIVE of any scheduling changes one full day (24 hours) in advance.

Preregistration for camp is required. Please notify STRIVE of any scheduling changes one full day (24 hours) in advance. 1 Camper Application and Registration Forms Camp STRIVE provides tween, teens and young adults, ages 11-24, with a supportive, safe, and active program during school vacations and throughout the summer.

More information

CHILD S NAME AGE. BIRTH DATE GRADE COMPLETED AS OF 6/2016 MEMBER (check one) Yes No MOTHER MOTHER S ADDRESS STREET CITY STATE ZIP

CHILD S NAME AGE. BIRTH DATE GRADE COMPLETED AS OF 6/2016 MEMBER (check one) Yes No MOTHER MOTHER S ADDRESS STREET CITY STATE ZIP TALLAHASSEE MUSEUM JUNIOR COUNSELOR IN TRAINING REGISTRATION FORM Please use a separate form for each child. Contact 575-8684 ext 126 for more information. This camp training program is limited to 2 candidates

More information

PARENT/CAMPER CAMP RALLY NIGHT FINAL FEE BALANCES NECESSARY FORMS CABIN MATE REQUESTS MEDICATION NEEDED

PARENT/CAMPER CAMP RALLY NIGHT FINAL FEE BALANCES NECESSARY FORMS CABIN MATE REQUESTS MEDICATION NEEDED PARENT/CAMPER CAMP RALLY NIGHT Our Camp Rally Night will be Friday, July 19 th at 6:30 PM at the Conejo Valley YMCA Community Room. This is a great opportunity to meet the camp staff, become familiar with

More information

Counselor Application

Counselor Application 2018 Spotsylvania 4-H Camp (CSRS) June 24-28, 2018 Counselor Application This application is for youth who are age 14 or older as of January 1, 2018 NAME ADDRESS STREET CITY ZIP HOME PHONE: CELL PHONE:

More information