Volunteer/Counselor Application

Please fill out application below to either volunteer or become a counselor. It will be the best decision that you have ever made!

Name*

Address*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Email*

Cell Phone*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Date of Birth*

Emergency Contact*

Relationship*

Emergency Contact Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Former Cancer Patient*

Yes
No

Ever Attend CWWD*

Yes
No

If yes, in what way?

Camper
Sibling/Friend
Counselor

When did you attend CWWD?

Education

High School*

Address

From*

To*

Did you graduate?*

Yes
No

Degree

College

Address

From

To

Did you graduate?

Yes
No

Degree

Other

Address

From

To

Did you graduate?

Yes
No

Degree

RegFox Event Registration Software

Event Registration Software by RegFox