Staff Emergency Contact Form - Iroquois Springs - Rock Hill, New York Summer Camp

Session 1 (3 weeks)

Session 2 (3 weeks)

Full Season (6 weeks)

Specialists Arrive,
Staff Orientation Begins,
Campers Arrive,
Camp Ends,

Staff Emergency Contact Form (Form 1 of 3)

Information About You

Your first name
Your last name
Your e-mail address
Cell phone	(e.g. 212-555-1212)
Home phone	(e.g. 212-555-1212)

Home Address
Street Address

City
State
Zip / Postcode

School Address
Street Address

City
State
Zip / Postcode
Your Emergency Contact
Full Name
Relationship to you
Home phone	(e.g. 212-555-1212)
Work phone	(e.g. 212-555-1212)
Cell phone	(e.g. 212-555-1212)
E-mail address