The Laurel School - Acceptiva

CAMPER INFORMATION

Child’s First Name: *

Child’s Last Name: *

Parents First and Last Names: *

Grade entering: *

Birth date: *

Age: *

Gender: *

Year round address: *

Where your mail is delivered.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Parent’s Email address: *

A confirmation will be e-mailed to this address.

Home phone: *

INTERVIEW QUESTIONS
Children wanting to participate in the CIT Program must fill out these questions.

1. Why do you want to be a CIT at Laurel Day Camp?

2. What age group(s) would you like to work with?

3. What do you enjoy about this age group?

4. What do you find challenging about this group?

5. What activities would you like to work with?

(pool, arts and crafts, sports, etc)

6.What is your biggest strength?

(what you could contribute to the LDC CIT program.)

Once we have received this form, Dan Simson, Camp Director will contact you by email or phone to set up a time for an interview; interviews will begin in early May and continue upon arrival of the applicant’s start date. If you have any questions about our CIT Program, or the camp, please feel free to contact Dan at Dan@laurel-school.org.

ACKNOWLEDGEMENT AND SIGNATURE: *

I acknowledge that I understand the CIT Program, both as a camper and helper, and my responsibilities, and that I have answered the above questions on my own, to the best of my ability.