Parent/Guardian Name:
Address:
City: State: Zip:
Home Phone: Work Phone: Mobile Phone:
Email:
Girl: Boy: Age: Birthday: T-Shirt Size : Scarf : School: Grade entering this Fall :
Position Desired: Counselor Counselor-in-training Unit Director Program Staff
First choice age group or program:
Second choice age group or program:
Certifications: (CPR, lifeguard, first aid, etc.)
How did you hear about Camp Saint Andrews:
What experience have you had with children (camp, babysitting):
Do you have friends coming to camp? Who?
What leadership experience have you had?
Why do you want to come to camp?
Please list any special skills you bring to camp (music, sports, etc.)?
Please list personal references:
Name: Relationship: Phone:
Will you be applying for School community service hours? Yes: No:
