Camp MASH Counselor Request Form
This is the initial form for putting your name on the list to be a counselor for Camp MASH 2021.  Fill out this form completely and we will contact you to let you know if you will be getting one of the spots to be a counselor for Camp MASH 2021.  
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Camp MASH Mobile 2021
Camp will be Sunday June 13th thru Thursday June 17th, 2021.  Drop off will be from 3pm until 5pm.  Pick up will be from 10am until 12pm.  Spots will be limited and unfortunately not everyone who wants to come will be able to come.   We will be cohorting our cabin groups more than normal.  Our schedule is shorter to shorten the time for any possible exposure.  When you are notified that you are eligible for camp, you will get a more detailed list of protocols and logistics for the week.
Counselor Last Name *
Counselor First Name *
Counselor Cell Phone Number *
Counselor Email Address *
Counselor Birthdate *
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Counselor Age at the start of Camp *
Have you been a Counselor at Camp MASH Mobile Before? *
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