Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Phone Number *

(###)

###

####

Contact Preference *

By Email

By Phone

Birthday *

MM

DD

YYYY

How would you like to help? *

Please select all that interest you.

Cabin Counselor

Counselor in Training

Weekly Director

Bible Coordinator

Arts and Crafts Coordinator

Nature Coordinator

Nurse

Photographer

Assistant Cook

Lifeguard

Housekeeping Assistant

Buildings and Grounds Assistant

Other

Have you volunteered at Camp Swatara before? *

Yes

No

What week(s) are you available?

June 14-19

June 21-26

June 28- July 3

July 5-10

July 12-17

July 19-24

July 26-31