Adult Registration

Directions:  In order to register as an adult staff member or chaperone, please complete the form below to the best of your ability.  Should you have any questions or concerns about the camp registration process please do not hesitate to contact us at ebersole@lansingschools.net.

Camp can be a transformative experience for young people. Thank you for volunteering to come to camp. We simply cannot operate without the help of our dedicated and committed adult staff and chaperones. Please complete this form so that we can best support you while you are at Ebersole. Thanks again.
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PART I: ADULT STAFF OR CHAPERONE'S INFORMATION
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Part II: DIETARY INFORMATION
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PART III: HEALTH INFORMATION
Note: As an adult staff member or chaperone you are not required to share any health history information with us, but we are required to ask. Please know that this information will remain confidential and will only be shared on a “need to know” basis with Ebersole staff members or other emergency first responders.
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PART IV: EMERGENCY CONTACT INFORMATION
Security Check - To verify you are not a robot, please answer this question:
 


11,500 Enrollment by 2025
85% Graduation Rate by 2025
90% Attendance by 2025