Work Exchange Program

You will be contacted within one week of submitting this form.

Question Title

* 1. First & Last Name:

Question Title

* 2. Please enter your contact information:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 3. I am:

Interested in being employed at Camp Birchrock in exchange for a child to attend the camp at a free or reduced rate (Please submit an online staff application if you have not already)

Interested in providing a good or service to Camp Birchrock in exchange for a child to attend at a free or reduced rate

Other (please specify)

Question Title

* 4. If you are interested in providing a good or service in exchange for camp fees, what is the good or service you wish to provide for Camp Birchrock?