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Broadstone
Appalachian State University
20 August 2008
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Camp Broadstone Information Form
Your Affiliation With Camp
Camper
Staff
Summer Enrichment Program
Spring/Fall School or Corporate Program:
Dates of Attendance or Employment:
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2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
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1962
1961
1960
1959
1958
1957
Session(s):
1
2
3
Job Title:
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Academic Coordinator
Adventure Staff
Assistant Director
Cabin Counselor
Camp Director
Evening Program Presenter
Four Day Trip Staff
Head Counselor
Housekeeping Staff
Kitchen Staff
Maintenance Staff
Morning Program Staff
Camp Nurse
Office Staff
Spring/Fall Instructor
Current Information About You
First Name:
Last Name:
Maiden Name:
Address:
City:
State
Zip
Mailing:
(If Different)
City:
State
Zip
Email:
Home Phone:
Other Phone:
Occupation/Position:
Company:
Spouse/Partner:
# of Children:
Help Us
Would you like to receive the Camp Broadstone newsletter?- Yes
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Would you prefer to receive an Electronic
or Paper
copy?
Would you be willing to be the subject of a future article
or contribute an article
Would you be willing to work/help with the upcoming reunion in Sept. of 2010?
Yes
No
Any additional comments about yourself, what you would like to see in the newsletter, ideas for future alumni oriented events at camp etc...