Kicklighter Christian Camp
                                                                              Counselor / Cook / Director Application
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First and Last Name *
Which camp will you be attending? *
Required
In what capacity would you like to serve? *
Home Address -  Street Address and City, State Zip *
Home Phone Number
Cell Phone Number *
E-mail Address
Sponsoring Church *
If you are not from one of the churches listed below please choose "Other" and list how you heard about Camp Kicklighter.
Church you Attend *
If you do not attend one of the churches listed below please choose "Other" and list the church you attend.
Age
Birthdate *
MM
/
DD
/
YYYY
Sex *
Number of years you have attended Camp Kicklighter
T-Shirt Sizes *
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