*
Full Name:
M
F
Date of Birth
*
Email:
*
Current
Address:
*
Phone#:
(Where I can be reached now)
Cell Phone#:
Contact Time:
(Best to time to contact you)
School Name:
Year of Study:
Frosh
Soph
Junior
Senior
Grad
College Major:
Position Desired:
General Counselor
Sport/Activity Specialist
Office/Clerical
Other
Nurse/EMT
If Specialty, what areas of interest:
Camper Age Preferred:
7-10
11-13
13-16
Any Age
I am a:
Smoker
Non-Smoker
I am available for all Camp Dates
Yes
No
(June 14, 2024 until August 10, 2024)
If NO, specify:
Tell us something about yourself and how you heard of Wah-Nee.
Days:
Hours:
Mins:
Secs:
