2026 CCA Summer Camp Counselor Questionnaire
Please complete this questionnaire if you would like to be a Counselor. Junior Counselors are counselors going into grades 7 - 8, Senior Counselors are grades 9 and above. Junior Counselors will be paired with an older counselor or staff member (adult) for the various sessions and activities. NOTE: Being a counselor is a volunteer position, and you can satisfy your community service hours.

The camp is from Monday - Friday, July 20 - 24 at the Healthy Community Center, 1600 E Long St, Columbus, OH 43203,  from 11 AM - 3 PM.

NOTE: Lunch is not included, students will need to bring a nonperishable lunch and snacks to the camp.

Please fill out the below questionnaire for your child.  If registering more than one child, please fill out an additional form. 

There will be a mandatory counselor training session, date and time TBD.

If you are looking to register a Camper in Grades 2 - 6 please go to the following link:
https://docs.google.com/forms/d/e/1FAIpQLSf8qEeYKKqJYsaXdmmHgZKopwOmj2Lgq9wwAWsUTbNgVP6wsA/viewform?usp=header
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Counselor's Full Name: *
Counselor's Nickname (if you have one) and Preferred Pronouns:
Counselor's Email (Or Parent's): *
Counselor's Phone Number (if applicable): *
Counselor's Grade for 2026-2027: *
Counselor's Birthday: *
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For Counselor's in Grades 7 - 12, please provide a parent/guardian name and phone number:
For Counselor's in Grades 7 - 12, what school do you go to?
Counselor's T-Shirt Size: *
What chess experience do you have?
 *
Which skill groups would you be most comfortable working with? *
Required
What activities/skills do you think we should we cover at the camp (e.g., puzzles, antichess, bughouse, endgame etc).
For those of you who have been a part of the camp before, is there anything you DON'T think we should cover?
Why do you want to be a counselor? *
For parents/guardians of counselors in grades 7-12 only:
I hereby give permission for my child to participate in the Columbus Chess Academy Summer Camp. I give permission to the staff of the Columbus Chess Academy to provide basic first aid. In the event of injury or illness requiring medical diagnosis or treatment, I hereby give my consent for the Columbus Chess Academy to secure the proper medical care including transportation and hospitalization. Every attempt will be made to contact the parent/guardian if any health or medical issue arises.

I grant permission for Columbus Chess Academy staff to take photographs/videos and publish them on websites including social media platforms. Your child's name WILL NOT be used in such publications unless we reach out to you directly first. I understand that if I do not want Columbus Chess Academy to take pictures of my child, I will reach out to Columbus Chess Academy about this.

I understand that lunch will not be provided and that students will need to bring a lunch and any snacks to the camp.

Please type your full name below to acknowledge and agree to the preceding paragraphs.
First and Last Name:
Any other comments/questions
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