*First Name:
*Last Name:
Nickname or Preferred Name:
*Email Address:
School ends (in Spring 2008) on what date?
Travel Details
Cell Phone:
*I am leaving for camp from: (city, state)
*I will ARRIVE in camp on (what date?)
Not flying to camp? Then, select "No" below and please skip down to the next section .
*I will FLY to camp: (If flying, please refer to information in Staff Bulletin.)
Yes
No
At which airport do you arrive?
Portland, Maine
Boston, Mass.
Manchester, NH
(If you are flying into Boston or Manchester, we will provide you with information on how to get from the airport to Portland via bus.)
If flying: I arrive at (what time?):
12AM
1AM
2AM
3AM
4AM
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12noon
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
11PM
:00
:05
:10
:15
:20
:25
:30
:35
:40
:45
:50
:55
Airline and flight # for arriving flight?
From which airport do you depart?
Flight departure time?
12AM
1AM
2AM
3AM
4AM
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12noon
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
11PM
:00
:05
:10
:15
:20
:25
:30
:35
:40
:45
:50
:55
List any connection flights here, if any.
*I am DRIVING to camp:
Yes
No
If driving, what date and time will you arrive in camp?
If driving, on which date are you leaving to drive to camp?
If driving, what kind of car?
I can bring ____ rider(s) with me.
If the camp pays to ship my baggage, I can bring ____ rider(s).
I am DRIVING to camp, but will come my own way and will cover my own expenses:
Yes
No
*(If you need a ride, please refer to the information in Staff Bulletin.) I NEED A RIDE to camp:
Yes
No
If you need a ride, from what city and state?
About You
*THUMBNAIL PORTRAIT: Each year we send a Staff Resume to our camp families. It contains a brief description of each member of the staff and includes your hometown, what you are currently doing, what you will be doing at camp, and a little background material. It helps create a positive anticipation for what promises to be a fine summer. Please note anything else of interest about yourself in the space below which has not been covered above. Any thoughts in anticipation of the summer, the campers, your activity, etc., are appropriate.
Almost done! Please complete the last few questions.
*Number of years at Takajo as a camper?
(Enter 0 for none.)
*Number of years at Takajo as a counselor?
This will be year____.
Shirt size: Men's?
small
medium
large
x-large
xx-large
Shirt size: Women's?
small
medium
large
x-large
xx-large
*Jacket size: UNISEX
small
medium
large
x-large
xx-large
I wish to order ____ additional staff shirts at approx.
(Enter 0 for none.) $10 each.
Year in school for September 2008?
School attending in Fall 2008?
If recently graduated, school and date of graduation?
Degree(s) working towards or earned?
If not in school, present occupation?
*Do you play a musical instrument?
Yes
No
If so, what instrument?
*Do you read music?
Yes
No
Will you participate in camp band if an instrument is available for you?
Yes
No
Special or unusual talents, skills, abilities that may contribute to certain camp activities such as talent nights, counselor shows, Carnival, rainy day programs, etc.?
Thank you!