EC Camp Counselor Registration

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Event Timing: July 24th. 9AM - 7 PM
Event Address: Dickson Valley Camp 8350 Finnie Rd Newark, IL
Contact us at 815-513-2228 camp@eccamp.org

We are offering a one day camp experience for campers. We know camp is important for our caregivers to even get a day off, and so we are in need of counselors to buddy up for the day. (taking campers in the lake, carrying tubes up the hill, etc) *

I understand and am happy to come be a counselor.

Have you attended EC Camp previously? *

I am a returning counselor.

I have never been to camp, but would like to be considered if there is space.

Counselor First Name *

Counselor Last Name *

Address *

Phone Number *

Email *

I understand I will be attending all day. *

9am- 7pm

Counselor Shirt size *

Each counselor should bring the following items to camp in a bag that will stay with them throughout the day. *

Water bottle

Swimsuit AND Towel

Sunscreen and Bugspray

Change of clothes

Required

I understand that the cost to attend camp as a counselor is $25 which includes a lunch, dinner, and shirt. *

Yes, I will pay upon arrival.

Yes, I will mail a check in advance or have included it with my registration

Yes, and I would like to make an additional donation to EC Camp

Yes and I would like to make an additional donation to Dickson Valley

I am in need of assistance and will speak with a director prior to camp.

I understand that masks may required during most activities during the day due to requirements set forth by the campground. If I am unable to comply, I may be asked to leave as safety is a primary responsibility of everyone attending. We will update everyone with the guidelines closer to camp as this is an ever-changing event. *

Yes

I understand that upon arrival at camp, I will complete a health survey before being allowed to participate in camp. If you cannot pass the health screen you will be turned away. *

YES

I expressly understand and agree that my participation in any programs outside my home presents known and inherent risks regarding any potential and/or actual infection of Covid-19 and/or any related illness, the result of which may be both serious and minor, including but not limited to, cough/fever, hospitalization/death. I understand that Chicago Central District (Everyone Cares Camp) and Dickson Valley have done their best to follow the most current health and safety guidance and that I am responsible to evaluate the risks that I may face. by selecting YES below and engaging in camp activities, I have assumed the risks and am responsible for my participation. This acknowledgement will also appear on the health form required at check in. *

YES

I understand that space is limited and returning counselors get priority. I will be notified before July 10th letting me know if I have been accepted and will attend a brief zoom training prior to camp. *

Yes, lets go to camp already!

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