2018 Half Day Summer Rec Counselor Application Form
Half Day Summer Rec Camp
Dates: (Wed 6/27 ~ Fri 7/27)
Time: 9am ~ 12noon
First Name *
Your answer
Last Name *
Your answer
Gender *
Date of Birth *
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/
DD
/
YYYY
Grade Entering in September, 2018 *
Email Address *
Your answer
Address *
Your answer
Town *
Your answer
Cell Phone Number *
Your answer
Parent's Name *
Your answer
Parent's Email Address *
Your answer
Parent's Cell Phone Number *
Your answer
Were you a 2017 Summer Rec Counselor? *
Which age group do you think you would work best with and/or prefer to work with? *
Required
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