Camp Kadesh Staff Application 2013

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Please fill out the general information section completely as well as the section that applies to the position your are applying for (Sr or Jr).

General Information

Name *

First and Last

Mailing Address - Street *

Mailing Address - City *

Mailing Address - Province *

Mailing Address - Postal Code *

Phone *

both home and cell

Email *

Age

Birthday

Gender

Male

Female

Clear selection

T-shirt size (unisex)

needed for Staff T-shirt orders

XXL

Other:

Clear selection

Parent or Guardian - Name *

Parent or Guardian - Phone # *

Clear form

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