Jr. Counselor Application Form

PAW JR. COUNSELOR APPLICATION 2022

First Name

Last Name

First Name

Last Name

EMERGENCY CONTACT INFORMATION

*Emergency Contact is an adult (other than the parent/guardian) who can be called in the event of an emergency, when a parent/guardian cannot be reached. PAW will always FIRST attempt to reach the parent/guardian.   Do not list parent/guardian here.

STUDENT PICK-UP AUTHORIZATIONS

If other than Parent will pick up, complete and return the following form via email: performingartsla@aol.com.

Click Here For: Pickup Authorization Note
 

If YES, complete and return the following form via email: performingartsla@aol.com.

Click Here For: Walk/Bike Authorization Note

BUILD YOUR SUMMER SCHEDULE

Optional Camp T-Shirt

Buy it now with registration for only $15. (Available at camp for $20)

1. All registration, camp hours, attendance, casting and refund policies.
2. I understand the Jr. Counselors must be 15 or 16 years at time of session. PAW reserves the right to offer up to 3 spaces per session, per camp site.
3. Allow PAW to use their selected nurse, physician or call 911 in the event of an emergency and I cannot be reached. I must disclose to PAW any special needs or allergies my child may have and agree to provide arrangements as required by PAW. Failure to do so may result in the termination of camp participation and/or removal from camp.
4. Allow my child to participate in any promotional pictures and videos from the camp.
5. Cancellation of any session has a $95.00 non-refundable registration fee.
6. Deadline for refund requests is May 1st, 2022.
7. I understand there are no cash refunds if my child is absent due to illness, withdraws early or is removed from camp due to behavior or discipline issues.
8. PAW reserves the right to substitute activities as necessary.
9. Space is limited - register early to ensure a spot. A child may join a session after it has begun if space is available. Parents can call the PAW office to confirm availability when signing up on or after the start date of a session or speak with the on-site camp director. PAW reserves the right to cancel a camp session if the enrollment is insufficient. In the event of a cancelled session, PAW will refund in full or apply tuition to another session of my choosing.
10. I understand that Jr. Counselors need to arrive at camp each day between 8:00am and 8:30am and are asked to remain present until the camp day ends at 3:00pm. Unless ill, Jr. Counselors are asked to attend camp each day of the session(s) they are registered for.
11. I understand Jr. Counselors are required to bring both a snack for mid-morning break and a packed lunch, as well as a water bottle in order to stay hydrated.

To Agree, Initial Here

To Agree, Initial Here

BILLING INFORMATION

Debit/Credit Card Info

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