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Harvey Cedars 2019 Counselor Registration on Monday, June 17, 2019

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Which week(s) are you available to attend as a counselor?
*Preferred T-shirt Size
*Emergency Contact Person AND Cell Phone Number
Please list any specific dietary requirements that you would like us to communicate to the Harvey Cedars food service staff.  (This does not guarantee that all requests can be accommodated.  If and when possible, you should plan to bring supplemental food items along if they will be needed.  Separate refrigeration is available and accessible in the dining hall for your use for this purpose.)
Information we need to consider (arriving late, not traveling with the group, planning to drive your own vehicle, able to drive a church vehicle, etc)
Required on File Information
*Have you ever been convicted of a crime (Other than a minor traffic violation)?  
If yes, please explain
Please supply the names, positions,  and email addresses or cell numbers of two qualified people who would  recommend you for the role of camp counselor.
*References:
*When was the date of your last TB test?
*Please read the following two statements and type your full name acknowledging that you read and agree to the statement.

Child Protection: The counselor is responsible to watch for any visible signs of child abuse and to immediately report them to the Youth Pastor and Youth Week and Camp Directors and such allegations must be reported to the NJ Department of Children and Families’ child abuse hotline 1-877-652-2873 (1-877-NJAbuse) Do NOT discuss the matter with anyone else. [Additionally, for non-NJ groups, also follow your state’s reporting guidelines.]
*Camper Discipline: Camper discipline shall not include physical exercise, meal deprevation, sleep depravation, corporal or peer group punishment or unsupervised isolation. Approved camper discipline allows for exclusion from camp activities or point subtraction from teams.