Camp Counselor Application

- Organizations

Interested in being a Camp Counselor for the SJV Mercy Camp?

Seeking 5 High School students to be Camp Counselors and help run Mercy Camp. Applicants will be notified if they are selected to be a camp counselor by Karen Benson.
Please use the form below to tell us more about yourself.

Parent / Guradian Information is required for all students and they will recieve the same text and emails sent to the counselors.

Download a copy to submit to Parish Office.
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- St. John Vianney
  Mercy Camp
  Camp Counselor Application
  
  June 24-28, 2019
  
  Registration Fee: $ 50
  
  Please bring payment to Parish Office
  or
  Faith Direct with a One Time Gift to Mercy Camp
- Counselor Full Name: REQUIRED Please fill out this field. Please enter valid data.
- Counselor Mailing Address: REQUIRED Please fill out this field.
- Counselor Email: REQUIRED Please fill out this field. Please enter valid data.
- Counselor Gender: Male Female
- Counselor Birthdate: REQUIRED Please fill out this field. Please enter valid data.
- Counselor School Grade for Fall 2019: REQUIRED Please fill out this field.
- Parent / Gaurdian (Emergency Contact) Full Name: REQUIRED Please fill out this field. Please enter valid data.
- Parent / Gaurdian (Emergency Contact) Phone Number: REQUIRED Please fill out this field. Please enter valid data.
- Parent / Gaurdian (Emergency Contact) Email: REQUIRED Please fill out this field. Please enter valid data.
- Please list your skills that make you a great camp counselor candidate for the middle schooler campers:
Submit

St. John Vianney Church

Prince Frederick, MD

Camp Counselor Application