Staff Application

Applicant Name *

First Name

Last Name

Applicant Cellphone *

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Applicant Birthdate *

MM

DD

YYYY

Parent Name *

First Name

Last Name

Parent Cellphone *

(###)

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Home Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Special Condition? *

Please note that we cannot accommodate all conditions. Failure to report a condition will result in expulsion from the camp.

The applicant has an allergy

The applicant has a learning disability

The applicant has a Medical Condition (autism, diabetes, epilepsy, or any chronic illnesses).

The applicant has Behavioural Needs/Tendencies

The applicant has Medication (Note we will store it for them but we will not administer the child MUST be able to self administer).

The applicant has no such condition.

Carpooling

We'll do our best to put you in touch with other families from your area.

We would be interested in carpooling.

Camp Experience

The applicant has attended a summer camp before as a camper.

The applicant has experience at a summer camp as a leader.

CPR, First Aid, etc.

The applicant has a certification in CPR, First Aid, etc., that will be valid at the time of the camp.

The applicant has previously had a certification in CPR, First Aid, etc., but it will be be expired at the time of the camp.

Lifeguarding

The applicant will be a certified lifeguard at the time of the camp.

The applicant has been a certified lifeguard, but the certification will be expired at the time of the camp.

Kitchen Experience

The applicant has experience working in a kitchen.

The applicant has experience cooking.