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Park Day Camp Counselor Application

 After filling out the application, please include two (2) letters of reference and mail them to: Michael Rubin, PDC Director, 7860 Chagrin Road, Chagrin Falls, OH 44023

(including area code)

(including area code)

Yes, I am a Park Member.
No, I am not a Park Member
Yes, I have attended.
No, I have never attended.
Adult Med.
Adult Large
Adult XL
Yes, I can work the entire contract.
No, I cannot work the entire contract.

Work Experience

Please list their name and contact information.

List all camper and/or counselor experiences

Please rate your Experience/Proficency with the following categories below.

Yes
No
Yes, I am vaccinated.
No, I am not vaccinated.

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.
Total:   

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