Counselor Application Request
Camp Rock 2018
By completing this online form you are requesting an application to be
considered as a Camp Rock counselor. You will be sent via US mail the
application form, Parental Consent form, the Medication form and the Code of Conduct form. All forms must be received by Wednesday January 3, 2018 for you to be considered.
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Gender *
Cell Phone # *
Your answer
Email Address *
Your answer
School *
Your answer
Grade *
Parish *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Tee Shirt Size *
Have you ever been a counselor at Camp WOW or Camp Rock? *
Have you ever been a camper at Camp WOW or Camp Rock? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms