Adult Counselor Registration Form

Adult Counselor First Name *

Adult Counselor Last Name *

Adult Counselor Email Address *

Adult Counselor Phone *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Gender *

T-Shirt Size

Allergies (medical. food, etc.) *

Church Affiliations *What charge are you affiliated with?

Pastor's First Name *

Pastor's Last Name

Pastor's Email Address *

Do you have any previous experience with Camp Calvin? *

Do you have any previous camp or youth ministry experience? *

What area would you like to serve? *

What age group would you prefer to work with? *5th6th7th8th