Junior Counselor Registration

2022 Junior Counselor Form

  • Areas to Serve

    Junior Staff must be at least 12 years old and entering 8th grade by the start of Camp.
  • Please indicate your first choice of activity.
  • Please indicate your second choice of activity.
  • Please indicate your third choice of activity.
  • Health & Permission

  • If none, write "none."
  • If none, write "none."
  • Medical and Liability Release

    We realize that no activity is without the possibility of unforeseen hazards which could result in injury to an individual. As a parent or guardian, it is your responsibility to instruct your child as to the importance of their conduct, which will help to ensure that they have a safe and enjoyable time while participating in this activity. By electronically signing this form, you, as a parent, guardian, or other responsible party, agree to assume the risks and hazards which are inherent in this kind of activity. You also agree to abxolve and hold harmless the sponsoring organizations and their representatives for damage, loss or injuries to the child for whom you sign. I hereby give my child permission to participate in this activity and give my permission to the leaders of this Sports and Art Camp to authorize any treatment deemed necessary by medical personnel in the event of accident or illness during this activity. I further give my permission for the use of any photos or likeness of my child by the sponsoring organization for their use in promotional materials.
  • Emergency Contact Information

    Should the parent or guardian (primary contact) not be available, who should we contact (secondary contact) in case of an emergency?