Camp Staff Info – Saint Barnabas

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Cell Phone*
Birth Date
MM slash DD slash YYYY
Dietary Resctrictions
T-shirt Size*
All t-shirts are unisex crews. If you are a small or medium woman, you may want to order the XL youth shirt as it is not as long.
Emergency Contact*
First Last
Relationship to you
Contact Cell Phone*
Additional information
Please provide information you would like to share in case of an emergency.