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Camp COPE Camper Application

Personal Information

Full Name(Required)
Address
Gender
Select date MM slash DD slash YYYY
Tshirt Size

Volunteer Opportunities

Mark appropriate boxes
Cabin Big Buddies (CBB)
Describe what activities (i.e.: Waterfront, Art, Sports, Music, Nature, Ropes etc.) you would like to teach/assist and explain your level of proficiency and experience with these activities. (H.S., college, intra-murals, hobby, competitive etc.) Please indicate any certifications you may hold.
GC’s are responsible for a group of campers during a scheduled grief activity. Explain your experience with grief counseling and indicate education and certifications you may hold.
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2. DO YOU HOLD AMERICAN RED CROSS CERTIFICATES?

(Check all that apply, with certification dates)

Lifeguard
Water Safety Instructor
Small Crafts

3. BRIEFLY DESCRIBE WORK OR VOLUNTEER EXPERIENCES RELATED TO CHILDREN

(Please attach your resume with details)

Max. file size: 1 GB.
4. ARE YOU A FORMER CAMP COPE CAMPER?
5. HAVE YOU EVER BEEN CONVICTED OF A CRIME, INCLUDING THAT OF CHILD ABUSE OR SEXUAL MOLESTATION?
6. HAVE YOU HAD A TETANUS SHOT WITHIN 10 YEARS OF CAMP DATE?
(Tetanus boosters are recommended every 10 years. If not up to date, we recommend getting a Tetanus booster prior to camp.)
7. DO YOU HAVE ANY ALLERGIES?