SECTION 1

Which camp are you applying for:
 Volleyball All-Sport

SECTION 2

Name:

Email Address:

Gender:

Birthdate:

Permanent Address:

Street:

Apt:

City:

Province:

Postal Code:

Phone Number 1:

Phone Number 2:

SECTION 3

School & Grade or Occupation:

Have you been a camper at Madawaska before?
If yes, which years?

Do you have any allergies?

t-Shirt Size

Please provide a brief description of your
coaching experience (if applicable) and
interest in being on staff as a C.I.T. at
Madawaska:

Please be prepared to provide Social Insurance & Health Card numbers at the interview.