Camp Counselor Registration for Regional Junior 4-H Camp - Whispering Cedars Camp, Genoa - June 5 to June 7, 2024
We're happy that you have volunteered your skills and knowledge to help at camp this year. Counselors must be 16 to 18 years of age before January 1. We need to have your firm commitment by registering by April 30, 2024. Please complete the following information and questions. Thank you.
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Email *
County of 4-H Enrollment or Residence *
What is your first name? *
What is your last name? *
What is your address? *
What city/town? *
State *
Zip Code *
What is your phone number (Cell phone number preferred - ie. 402-741-2158)? *
Emergency Contact Phone number *
Email Address *
Birthday (MM/DD/YYYY) - Counselors must be at least 16 years old before January 1 of the current year and not more than 18 years old before January 1. *
MM
/
DD
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YYYY
Have you completed the On-line 4-H Participant Permission and Health Form when you enrolled in 4-H? This is a requirement to complete before camp. *
Do you have special diet or other assistance needs? Please indicate None or Other. If Other, please describe your needs. *
T-Shirt Size *
Why do you want to be a camp counselor? *
What skills and qualities do you possess that would make you an outstanding camp counselor? *
I understand that I must commit to participate in camp counselor training and the entire Jr. 4-H Camp this year. *
Thanks for registering as a Camp Counselor for the 2024 Jr. 4-H Camping season. We're looking forward to seeing you on June 5th!
A copy of your responses will be emailed to the address you provided.
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