EmailMeForm
Jr. Counselor Application
Kid's Clubhouse
*Notice: Not all applicants will be chosen for Summer Camp 2023. We have a limited number of Jr. Counselor positions available this year. We will begin reaching out to candidates in April.
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.
*
Week 1 - June 12th-16th
Week 2 - June 19th-23rd
Week 3 - June 26th-30th
Week 4 - July 3rd-7th
Week 5 - July 10th-14th
Week 6 - July 17th-21st
Week 7 - July24th-28th
Week 8 - July 31st-Aug. 4th
Week 9 - August 7th-11th
Week 10 - August 14th-18th
Week 11 - August 21st-25th
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 for the number of weeks you select.
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
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
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
*
Monday
Tuesday
Wednesday
Thursday
Friday
Approx. Time you will be picked up each day
*
HH
:
MM
AM
PM
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).
NC Zoo Trip (Jun 30th)
*
I would like to opt out of this field trip for my child.
I would like my child to attend this trip($90 fee will apply)
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 work 1/2 day($55 fee will apply)
I would like my child to attend this trip and play all day($105 fee will apply)
Carowinds 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 work 1/2 day($65 fee will apply)
I would like my child to attend this trip and play all day($125 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