Complete the application below and someone will get back to you. All fields are required unless otherwise stated. Name Age Date of Birth Address City State Zip Email Phone T-Shirt Size—Please choose an option—Youth SYouth MYouth LAdult SAdult MAdult LAdult XL Cell Prefer Text Messages?YesNo School Attending Grade Attending Camp's attended as camper Please select position you are applying forCounselorJunior CounselorLifeguardMothers helperSpecialty Assistant Applying ForWhole SummerFirst HalfSecond Half Which age group do you prefer?Grades 1-2Grades 3-5Grades 6-9 Do you have any past experience? If yes, please list where, your job and how long you worked there: Please check any of the following attributes that you could share with us as a staff member at Camp Merockdim: SingingDancingActingArtisticSportsOther If Other List two references (not family members), their phone numbers and relationship to you Reference 1 Relationship to you Reference 2 Relationship to you Δ