Counselor Registration

Rock Lake United Church Camp

* Indicates Required Field

*Name:

Telephone:

*Mailing Address:

*Postal Code:

*Birth Date:

*Gender:

*Email Address:

*T-Shirt Size:

*Remark	From Date	To Date

Attend the Leadership Week from July 6^th - July 10^th? Registration: 3pm - 4pm Monday/Camp Ends: 5pm Thursday *recommended for all new counselors

1. What previous camping experience have you had?

2. What experience do you have working with children?

3. Why do you want to be a counselor?

4. What are your strengths in leadership?

5. What areas in leadership do you need to grow in?

6. What should a camper experience at camp?

7. What should a counselor experience at camp?

8. If you were a breakfast cereal what kind would you be and why?

Clergy:

Telephone:

Teacher:

Telephone:

Other: (not a family member)

Telephone:

* Atleast two References Must be Compulsory