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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Area of Interest

   1. Before & After School Program
   2. Summer Day Camp
   3. Recreation Rentals

   Please click all that apply
9. Type of Work*

   1. Temporary (Up to 40 Hours Weekly for Designated Start and End Date)
   2. Part-Time (Less than 20 Hours Weekly)

   Please click all that apply
10. Are you at least 18 years of age?*

    1. Yes
    2. No

    Must be 18 Years of Age or Older
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

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