Your First Name

Your Last Name

Your Birthday

Your Email (required)

Your t-shirt size (required)

Your primary phone #

Year(s) and position(s) worked at Camp Kearney

School Address

City, State, Zip

Home Address

City, State, Zip

The best way to contact you is:

In the next section, please choose your first and second choices for positions to serve.

First Choice

Second Choice

Are there any dates between June 4 and August 5th that you will not be available or will need to leave early? Explain.

What has God been teaching you this past year?

Are there any big changes in your life that we should know about?