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Camp Constitution 2014 Staff form

Camp Constitution 2014 Staff form

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Published by Camp Constitution
Camp Constitution application forms for staff 2014 camp
Camp Constitution application forms for staff 2014 camp

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Categories:Types, Presentations
Published by: Camp Constitution on Apr 30, 2014
Copyright:Traditional Copyright: All rights reserved

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04/30/2014

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CAMP CONSTITUTION
 
(Photocopy as needed)
 
STAFFER SIGN-UP
 
(One Staffer per app)
Rindge, New HampshirE
July 13 – July 20, 2014
 
Please Print:
 
Staffer Name ___________________________________________ Birth Date:
(Month, Date, Year)
 ____________________
M _____ F_____
Street Address ___________________________________________ City ______________________________ State & Zip ____________ Phone # _____________________ Fax # _____________________ E-mail __________________________________________________ I
!
d like to host cabin with ____________________________________ Or, No Cabin duty, please! Cell Phone # ______________________
Work # _________________________ Home #____________________________
My Special interests, abilities:
 Art; Basketball; Chess; Children
!
s Activities; Editing/Proofing; Hiking; Historical Trivia; Juggling; Lifeguard;
Music: voice / instrument
 _______________ Nature & Field Activity; Newspaper; Outdoor Sports Ping-pong; Skits; Song Leader; Swimming; Tug-o
!
 War; Volleyball;
or List Other
:
________________________________________________________ If accompanied by
 adult 
 
non-staffer 
, please add: Second Name
____________________________________________ Birth Date:
(Month, Date, Year)
 ___________________
M ______ F______ Work# _________________________ Home/Cell#________________________ Emergency Contact Name
 
_________________
______________________
Phone(s)
 ________________________________________________
 
Send forms
Mr. C.H. Everett
(
Administrator, Camp Constitution)
 5945-D Quail Hollow Rd.,
(with 225USD) to
: Charlotte, NC 28210-5028

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