Asian Camp Counselor Registration 2019: General Info
Camp Dates: July 21st-27th Location: Lodestar, Wilseyville, CA

Thank you for taking the time to complete your online Registration! Please make sure all of your info is correct before submitting and submit your Registration only once.

See the Registration Checklist on the website.

General Information
First Name: *
Your answer
Last Name: *
Your answer
Date of Birth: (mm/dd/yyyy) *
Email Address *
Your answer
Age *
Your answer
Phone Number *
(###) ###-####
Your answer
Please check your preferred method of communication *
Mailing Address: Street, City, State, Zip *
Your answer
Gender *
Your answer
T-shirt Size *
Sweatshirt Size (if you are going to buy one) *
Education and Work Experience
Year in school in Fall 2018 *
College and Degree/Major (if applicable)
Ex. University of Washington, Physiology
Your answer
Occupation and Employer (if applicable)
Ex. Barista, Starbucks
Your answer
Local Church Affiliation and Previous Camp Experience
Current Church Affiliation *
Please select church where you currently worship most regularly
How many years have you attended Asian American Summer Camp as a CAMPER? *
How many years have you attended Asian American Summer Camp as a COUNSELOR? *
When was the last year you attended camp? (in any role) *
Your answer
Select the Grade Levels you prefer to Counsel
Please list your top 3 choices in order of priority with the first selection as your most desired grade level. (Choices: incoming 10th, 11th, 12th, 13th, 14th)
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy