Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Availability *

Volunteers must commit to helping out five days a week for two weeks between June and August. Please select your availability below. Check all that apply

July 1-5 (no camp July 4)

July 8-12

July 15-19

July 22-26

July 29-August 2

August 5-9

August 12-16