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Staff Application 2026
Fill out the form below to apply for a staff position at Moonlight Day Camp
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Applying for
July
August
Full summer
Clear selection
Current Grade
*
Your answer
School Atteding
Your answer
Email
*
Your answer
Full Address
*
Your answer
Phone number
*
Your answer
Position applying for
*
Counselor
Junior counselor
Specialty
Lifeguard
Do you need accommodations?
*
Yes
No
How did you hear about Moonlight?
*
Your answer
Why do you want to work at Moonlight Day camp?
Your answer
Reference 1 Name & Phone number
*
Your answer
Reference 2 Name & Phone number
*
Your answer
T Shirt Size
Youth Large
Youth XL
Adult XS
Adult Small
Adult Medium
Adult Large
Adult XL
Clear selection
Emergency contact #1 Name
*
Your answer
Emergency Contact #1 phone number
*
Your answer
Emergency Contact #1 Relationship
*
Your answer
Emergency Contact #2 Name
*
Your answer
Emergency Contact #2 Phone Number
*
Your answer
Emergency Contact #2 Relationship
*
Your answer
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