JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Personal Information
This registration is ONLY for staff / counselor.
Registration for camp closes completely on May 17, 2024.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Female
Male
Phone Number
*
Your answer
Mailing Address (Street)
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP
*
Your answer
Current Occupation
*
Your answer
Relationship Status
*
Single
In a relationship
Married
Divorced
Separated
Age on June 2, 2024
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Have you ever been arrested and / or convicted of a crime involving drugs, sex, or violence?
*
Yes
No
If yes, please explain:
Your answer
What church do you attend?
*
Your answer
Next
Page 1 of 9
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms