EmailMe Form - Jr. Counselor Application

When can you start? *

MM / DD / YYYY

Change the date if different than the 1st day of Summer Camp.

What weeks will your child be attending Summer Camp 2023?
$35/week will be charged to cover the cost of our trips & food. *

Contact Information

Applicant's Name *

First MI Last

Date of Birth *

MM / DD / YYYY

Must be 14 years old by the 1st day of Summer Camp.

Email *

Mobile Phone *

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Guardian #1 Name *

First MI Last

Mobile Phone *

### - ### - ####

Guardian #2 Name *

First MI Last

Mobile Phone *

### - ### - ####

Have you ever attended a camp at Kid's Clubhouse? *

Yes

No

Have you ever been a Jr. Councelor at Kid's Clubhouse? *

Yes

No

Availability

Days Available *

Approx. Time you will be picked up each day *

HH : MM AM/PM

Optional Field Trips

Please make a selection for each field trip listed below.

***This does not guarantee that your child will be selected to go on these field trips.

We will notify each Jr. Team Member at least 1 week before the trip if they were selected to go on the trip and payment will need to be made in full at that time (if applicable).

Wet-n-Wild Trip (July 28th) *

I would like to opt out of this field trip for my child.

I would like my child to attend this trip and play all day($140 fee will apply)

King's Dominion Trip (August 11th) *

I would like to opt out of this field trip for my child.

I would like my child to attend this trip and play all day($140 fee will apply)

Special Remarks, Allergies, etc...

Put down any dates that you know you will not be attending camp this year.

This can be changed later if needed.

List 3 attributes that make you a good candidate for a Jr. Team Member position at Kid's Clubhouse. *

Important Information Regarding Jr. Team Members

1. We will be charging $35 per week for Jr. Team Members this year to cover the cost of lunches & activities. This is due at the Jr. Team Member Orientation (date TBD) and is non-refundable.

2. Lunch & snacks will be provided, however if your child should need extra food, please be sure they bring it with them.

3. All Jr. Team Members are on a trial basis. If your child is not working out he/she will be asked not to return as a Jr. Team Member and all fees for the following weeks will be refunded.

4. At NO time will a Jr. Team Member be over a group of kids without an adult staff with them.

5. Remember your child can use this volunteering "job" as a learning experience for getting a job at Kid's Clubhouse or somewhere else in the future. However, there is no guarantee that you will get a job at Kid's Clubhouse once you are of age.

6. Remember that Jr. Team Members are to set an example in the way they act and the things they do while at camp. At no point, playing or not, should a Jr. Team Member hit, slap, bite, or touch any child, Jr. Team Member, or staff for any reason. Jr. Team Members are expected to refrain from using foul language and are to use their best judgement in all situations.

7. If a Jr. Team Member should have an issue with a child or children, he/she needs to seek the help of an adult staff and/or Cameron/Amy/Alison.

8. Jr. Team Member should not boss the campers around.

9. Jr. Team Member should not be in the kitchen/office/staff room for any reason unless they are asked to help in those areas.

10. If a Jr. Team Member is put at a job (bingo, outside, video games, etc...) he/she needs to stay at their post and not change unless asked to do so by Cameron/Amy/Alison.

11. Cell phones are not allowed to be carried on their person or to be used while here at Kid's Clubhouse.
If caught using their phone, we will ask them to put it away the first time. The second time they will be told not to bring it into the building. Should there be a reason you need to speak with your child, please call us at 919-550-3262. Should they need to contact you, they should ask Cameron/Amy/Alison and we will contact you.

12. Jr. Team Member should come prepared for the day. Bathing suits should be with them every day (we may do an unexpected water activity). They will need a pair of socks for skating days (Tuesdays).

13. Jr. Team Members should be here because they want to be here and they want this experience. They should always come in ready and willing to help out in any way he/she is asked.

14. If your child is selected to be a Jr. Team Member, we will contact you with the date for our Jr. Team Member orientation. The $35/week fee will be due at the orientation.

Jr. Team Member Applicant's Electronic Signature *

By signing, I completely agree with and understand all of the above rules for Jr. Team Members at Kid's Clubhouse.

Parent's Electronic Signature *

First MI Last

Today's Date *

MM / DD / YYYY