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Camp Able Staff Application 2024
Staff Training June 2nd-3rd and Camp June 4th-8th, 9am-4pm
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First & Last Name *
Age you will be in June 2024... *
Date of Birth *
YYYY
/
MM
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DD
Cell Phone *
Email *
Street Address *
Food Preferences/Allergies *
Health concerns to be aware of... *
Medical Insurance Company *
Medical Insurance Member ID *
Primary Insurance Holder *
Primary Insurance Holder DOB *
YYYY
/
MM
/
DD
Please list Camp Able, MUD Camp, or other Camps Working Experience *
Why do you want to help Camp Able/What are you hoping to get out of this experience? *
Applicable Certifications/talents - life guard, CPR, musical instruments etc 
Emergency Contact (Name and Cell Phone) *
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