Staff Assistant Volunteer's Name *

First Name

Last Name

Staff Assistant's Phone# *

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Parent/Guardian Contact Name *

If you are over 18, please enter an emergency contact name.

First Name

Last Name

Parent Phone# *

Please enter a parent or guardian's phone number if you are under 18 years old. If you are over 18, please enter an emergency contact phone number.

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Second Parent/Guardian Name

If you have a second parent or guardian who should also receive crew information and schedules, please enter his or her name here. Otherwise, leave this field blank.

First Name

Last Name

Second Parent/Guardian Contact Phone#

If you have a second parent or guardian who should be contacted in the case of a question or an emergency, please enter his or her phone number here. Otherwise, leave this field blank.

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FIRST SHIFT Schedule Conflicts *

Please check all dates for which you HAVE a conflict. If you do not have any conflicts, please check the first box. If you are not applying for FIRST SHIFT, please check the second box.

I am applying for FIRST SHIFT and I will be present for all of the dates and times listed below (no conflicts)

I am not applying for FIRST SHIFT

Sunday, June 22: 2:00-4:00 PM (orientation and camp set-up) – I have a conflict

Monday, June 23: 10:00 AM - 2:00 PM – I have a conflict

Tuesday, June 24: 10:00 AM - 2:00 PM – I have a conflict

Wednesday, June 25: 10:00 AM - 2:00 PM – I have a conflict

Thursday, June 26: 10:00 AM - 2:00 PM – I have a conflict

Friday, June 27: 10:00 AM - 2:00 PM – I have a conflict

SECOND SHIFT Schedule Conflicts *

Please check all dates for which you HAVE a conflict. If you do not have any conflicts, please check the first box. If you are not applying for SECOND SHIFT, please check the second box.

I am applying for SECOND SHIFT and I will be present for all of the dates and times listed below (no conflicts)

I am not applying for SECOND SHIFT

Sunday, June 22: 2:00-4:00 PM (orientation and camp set-up) – I have a conflict

Monday, June 23: 2:00 PM - 6:00 PM – I have a conflict

Tuesday, June 24: 2:00 PM - 6:00 PM – I have a conflict

Wednesday, June 25: 2:00 PM - 6:00 PM – I have a conflict

Thursday, June 26: 2:00 PM - 6:00 PM – I have a conflict

Friday, June 27: 2:00 PM - 6:00 PM – I have a conflict