7171 Cottage Hill Road Mobile, AL 36695 Michael Schultz - Director 251-689-6967 campmashmobile@gmail.com
Last Name *
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First Name *
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Preferred Name
If you have a preferred name to be called or a nickname, please put it here.
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Gender *
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Mailing Address *
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Primary Phone Number *
This will be considered the primary number for Camp Staff to contact you on about your camp. Please make sure you provide the best number that you can be reached at regularly, consistently and easily.
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Is the previous number provided a cell phone number? *
If yes, we will be texting you information at that number. If not, please let us know that texting is not an option for you at the bottom of this question in the "other" spot.
Have you been a counselor and/or attended Camp MASH previously? If so, please share with us when and in what capacity. *