First Name*

 

Last Name*

 

Cell Number*

 

Email Address*

   

Home Address*

Age*

 
 

Grade*

 

Valid Driving Lisence*

 

Qualified Life Guard*

 

Qualified in First Aid*

 

School*

 

If part of a group names of other staff applying with you*

Which camp are you applying for*

Position applying for*

Are you interested in main camp or kiddie camp*

Please provide 3 references who are not related to you

Reference 1

Full Names

Email Address

Cell Number

In what capacity do they know you?

Reference 2

Full Names

Email Address

Cell Number

In what capacity do they know you?

Reference 3

Full Names

Email Address

Cell Number

In what capacity do they know you?