Today's Date *

MM

DD

YYYY

Your Name *

First Name

Last Name

Preferred pronouns

She, her, hers

They, them, theirs

He, him, his

Your Phone *

All employees must be able to receive daily phone texts and calls.

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which of the following weeks of camp can you work? *

Preference will be given to applicants who are able to work all three sessions of camp.

At the Pond, Session 1: June 14 & 17-20

In the Forest, Session 2: July 5 & 8-11

On the Farm, Session 3: July 26 & July 29-August 1

Parent/ Guardian name (if under 16) or Emergency Contact for those 16+ *

First Name

Last Name

Parent/ Guardian or Emergency Contact Phone *

(###)

###

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Which of the following activities would you be comfortable leading? *

Check all that apply

Field Games (poison dart frog, hide and seek...)

Team Building Games and Ice Breakers

Arts & Crafts

Drama & Story Telling

Singing and Chants

Hiking and Exploring

Plant and Animal Observation

Bush craft such as fire building, cordage making, whittling...

T-shirt Size *

Staff T-shirt

Women's XS

Women's S

Women's M

Women's L

Women's XL

Men's XS

Men's S

Men's M

Men's L

Men's XL