Camp Staff Info Form

Please fill out this form and click submit.

CLICK LINK TO VIEW CAMP STAFF DOCUMENTS

https://www.dropbox.com/scl/fi/rk6bdpps2s9f2md9mceko/SC-25-005-Staff-Registration-Medical-form.docx?rlkey=r0yjty6zol3qk21uzekyq67xj&st=st710ze0&dl=0

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Shirt Size (Adult)

*

Please select one option.

S M L XL XXL

Payment $100

Able to Drive a Van - Must be 25 or Older.

*

Please select one option.

Yes No

Do you get carsick?

*

Please select one option.

Yes No

Background Checked by LCC/LCS in the last 5 years?

*

Please select all that apply.

Yes No

Watched the Child Protection Video in 2024 or 2025?

*

Please select all that apply.

Yes No Not Sure

Food Allergies?

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

Please Fix the Following

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