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Interest Signup: Environmental Leadership Camp
Event Timing: Summer June - August, 2024
Event Address: WA state parks (various locations and activities)
Contact us at (206) 488-5847 or
seamerchan@gmail.com
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Email
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Your email
Point of Contact Name(s)
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Your answer
Interested in
Participation As:
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Camp Counselor/Instructor/Chaperone
Family with Children
Both
Are you CPR/First-Aid Certified?
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Yes
No
Point of Contact Phone #s (Cell Preferred)
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Your answer
Additional Contact
Emails
Your answer
How Many Members of Your Family/Team Are Anticipated? (head count #) and can you travel to WA state parks?
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Your answer
What Month(s) would you be interested?
Camp 1 June, 2024 (9am-5pm)
Camp 2 July, 2024 (9am-5pm)
Camp 3 August, 2024 (9am-5pm)
Do you know of anyone who would be interested in becoming a Camp Counselor/Instructor/Chaperone?
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Your answer
Demographics
Please write your city of residence (+ zip code) for Camp planning.
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Your answer
Demographics
Race / Ethnicity
Native American
African American
AAPI - Asian, Native Hawaiian, Pacific Islander
Hispanic
White Caucasian
Prefer not to say
Other:
Service Family/Military Connection:
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Yes
No
I understand that enrollment fees could apply to cover food per child and Costs of the Summer Camp (Not applicable for Camp Counselors
/Instructors/Chaperone
s)
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Yes
Other:
Required
Are you willing to commute for camp (such as WA State Parks for field trips?)
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Yes
No
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