Returning Counselor Application Form Camp Dates: August 20-27, 2023 Returning Counselor Application First Name * Middle Name Last Name * Date of Birth * Email Address * Cell Phone Number * Home Phone Number * Emergency Contact Name * Emergency Contact Relationship * Emergency Contact Phone Number * Emergency Contact Phone #2 Emergency Contact Phone #3 Secondary Emergency Contact Name Secondary Emergency Contact Relationship Secondary Emergency Contact Phone #1 Secondary Emergency Contact Phone #2 Secondary Emergency Contact Phone #3 Please list all other languages besides English that you are fluent in: If you are human, leave this field blank. Next
