Phone Number *

(###)

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Address *

Where you can receive mail through the spring of 2025

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday *

MM

DD

YYYY

Are you interested in assisting with any of the following Mass ministries? *

Music Ministry

Eucharistic Minister

Altar Server

Sacristan

Liturgy Planning

Not At This Time

We require that Counselors are available for trainings, all weeks of camp, and camp clean up. Please confirm the trainings, camp weeks, and camp clean up that you ARE available to work in summer 2025. *

Counselor Training- May 26-30, 2025

High School Overnight Camp: June 1-6, 2025

Day Camp: June 9-13, 2025

Elementary Overnight Camp: June 15-20, 2025

Middle School Overnight Camp 1: June 22-27, 2025

Middle School Overnight Camp 2: July 6-11, 2025

Intermediate Overnight Camp: July 13-18, 2025

Camp Clean Up- July 19-23, 2025

Emergency Contact Name *

Should you be hired, please list someone we can contact for you in case of an emergency

First Name

Last Name

Emergency Contact Phone Number *

(###)

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Signature *

By typing my name below, I hereby certify that to the best of my knowledge, this is an accurate and complete statement of the information requested.

First Name

Last Name

Today's Date *

MM

DD

YYYY