| Applying For |
| Position: | |
Sessions: Please check (X) off the ones you are interested in attending. | June 24 - July 7
July 8 - July 24
|
| Personal Data |
| Last&First Name: | |
| Street Address: | |
| City/State: | |
| Phone: | |
| E-mail: | |
| | |
| Education |
| High School Attended: | |
| High School Graduation Year: | |
| College Attended: | |
| College Graduation Year: | |
| Major: | |
| Present School Status: | |
| Camps attended as a camper: | |
| Skill |
| Do you have Red Cross Certification As: | Life Guard Training
First Aid If so what kind:
WSI
Small Craft
Ropes Courses
CPR If so what kind:
|
Skills, Interests, Abilities:
Check (X) items in which you
are proficient in
and can teach or lead | THEATER/MUSIC: Theater/Drama Piano Guitar ART: Painting and Drawing Photography Sewing Pottery Arts/Crafts
DANCE: Hip Hop Dance Ballroom Dance Yoga
SPORTS: Swimming Canoeing Trail Running Basketball Football Lacrosse Ping Pong Socce Tennis Wrestling Volleyball Kickball Archery Badminton
OTHER: Math Chess Cooking
Writing |
| Medical Insurance - MANDATORY |
| Company Name: | |
| Policy Number | |
| Emergency Contact (Name and No.) | |
Please copy and paste your application into an email and email it to: camp@russianschool.com
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