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2025 Camp Hemlock Staff Application
Application due date is April 1, 2025.
This is the application for Junior and Senior staff at Camp Hemlock for the boys' programs.
Any questions about this application should be directed to Mark Bos (
mark@camphemlock.org
).
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Home Address (Street number and name)
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Cell Phone
*
The cell phone number of the person applying
Your answer
Highest level of education completed?
*
As of July 1st of this camp season.
Choose
9th Grade
10th Grade
11th Grade
12th Grade
College Freshman
College Sophomore
College Junior
College Senior
College Graduate
Preferred T-Shirt Size
*
Adult sizes
S
M
L
XL
2XL
3XL
Other:
Emergency Contact Information
Please provide an emergency contact for your time out at camp.
Name of Emergency Contact
*
Your answer
Relationship
*
Parent
Relative
Friend of the family
Other:
Emergency Contact Phone Number
*
Your answer
Emergency Contact Email Address
*
Your answer
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