Thank you for your interest in helping this summer. We look forward to watching you grow as a leader and having fun with us this summer. Please fill out the form below, let us know what weeks you can commit to and we will have an orientation in late June.

Name *

First Name

Last Name

Birthdate

You must be over the age of 14 to be an assistant.

Email *

Phone

(###)

###

####

Allergies

Emergency Contact 1

Emergency Contact 1 Phone Number

(###)

###

####

Emergency Contact 2

Emergency Contact 2 Phone Number

(###)

###

####

Which Weeks can you help

We'd prefer at least 3 weeks of commitment. If you don't know the weeks you can do, at least check off what you are sure you can do.

Week of July 5th

Week of July 12th

Water week July 19th

Week of July 26th

Week of August 2rd

Water Week August 9th

Week of August 16th

Week of August 23th

Explorers July 12th (17y and older)

Explorers August 16th (17y and older)

Notes

Have you had the Covid-19 Vaccine?

Orientation Days

You may go to all 3 days or just one. Animal Handling class - Tuesday 6/22 from 1-5pm - You MUST be 16y or older to attend this class (if you turn 16 before the week but aren't yet, then you can attend)

Sunday, June 20th 2-8pm (bring $3 for pizza) (let me know if you're vegan)

Wednesday, June 23rd 11-5pm (pack a lunch)

Tuesday 6/22 from 1-5pm Animal Handling

Thank you!

Email Address

Thank you!

Sweetbriar Nature Center - ECSS, 62 Eckernkamp Drive, SMITHTOWN 11787, United States6319796344vsswbriarnc@aol.com