Town of Camp Verde Parks & Recreation

359 S. Main Street

Camp Verde, Arizona 86322

928-567-0535 ext 132

Youth Commission Application

Name:___________________________________________________________________________________

Physical Address:______________________________________________________________

Mailing Address:___________________________________________________________________________

Phone:(Home)_________________(Work)__________________(Cell)____________________

E-Mail:(Home or Work)_________________________________________________________

Please Answer The Following Questions

1. Why do you want to be apart of Youth Commission: ___________________________________

_____________________________________________________________________

2. Tell us about yourself? What are your hobbies, interests & schooling? Any general information

pertinent: _____________________________________________________________________

_____________________________________________________________________

3. What do believe the duties of this commission are and how do you plan to contribute and how much

time are you willing to dedicate to this commission: __________________________________

____________________________________________________________________

Signature_________________________________________Date

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