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Registration For Camps

 

Please make sure you have read and understood our pricing policy before you register.
Required Fields Are Marked In Red

Contact Information

Contact Name:
Street Address:
City:
State: Zip:
Phone Number:
FAX # (if any):
Email:



Camp Information

Camp Name:
Street Address:
City:
State: Zip:
Phone Number:
Web Site (if any):
Please include "http://"
Camper Age Range:
Size of Enrollment: Size of Staff:
Staff Start Date: , 2011
Staff End Date: , 2011
Salary Range:
(Assuming the job candidate brings no children to camp)

Region: (Please select at least one)
West Coast (WA, OR, CA, HI, AK)
Southwest (NV, UT, CO, AZ, NM, TX)
Central (MT, ID, WY, ND, SD, NE, KS, OK)
Midwest (MN, WI, MI, IA, IL, IN, OH, MO)
New England (CT, MA, RI, NH, VT, ME)
Mid-Atlantic (VA, WV, DC, MD, DE, PA, NJ, NY)
South (AR, TN, KY, LA, MS, AL, GA, FL, SC, NC)
Canada

Type: (Please select at least one)
Sleep-Away Day

Are you only interested in profiles from health care staff of a certain gender?
Male Female No Preference

Your Camp's Gender Make-Up: (Please select at least one)
All Boys All Girls Co-Ed Brother/Sister Camps

Camp Specialty: (Please select at least one and all that apply)
Academic
Agency
Arts
Not-For-Profit
Private
Religious - Christian
Religious - Jewish
Scout
Special Needs
Sports - General
Sports - Specialty
Traditional / None
Travel
ACA Accredited (If checked, please select your ACA Section below.)

If your camp is ACA Accredited, please select the ACA Section to which you belong:


Brief Camp Description -- MAXIMUM 50 WORDS:


Full Camp Description for Prospective Staff:


Camp Description for Campers (in case staff member is a parent):


Featured Activities for Campers:


Other Activities for Campers:


Session Length(s) for Campers:


Camper Tuition:


Desired Certification(s) for Health Care Staff
CNA (Nursing Assistant)
Certified Athletic Trainer
Current Nursing Student
EMT (Emergency Medical Technician)
Graduate Nurse
LPN (Licensed Practical Nurse)
MA (Medical Assistant)
MD (Physician)
NP (Nurse Practioner)
PA (Physician's Assistant)
PT (Physical Therapist)
RN (Registered Nurse)
Student Athletic Trainer
WFA (Wilderness First Aid)

Other: (Use this space to list specific health care staffing needs and conditions, or to explain choices you made above)


Please invent a username:

Note: Username should apply to your camp in general, not an individual employee.

Please invent a password, and enter it twice (make sure they match):

Please indicate your desired service contract:

One hiring season at $250


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