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Grades Camp Date PreCamp Date
Note: It is assumed that if more than one camp is selected, you are applying for each of those camps.

My Information:
First Name
Last Name
Age (if under 21)
Street Address
City
Postal Code
Associated Church
Phone (e.g. 555-555-1234)
Email

If applicable, please list your child(ren) and the camp(s) he/she/they will attend:
1
 
First Name
Last Name
Camp
2
 
First Name
Last Name
Camp
3
 
First Name
Last Name
Camp

References:
The following reference should be able to provide us with information regarding your spiritual life (e.g. a pastor, mentor, teacher, etc.):
First Name
Last Name
Relation to the applicant

Please provide at least one method of contact:
Phone (e.g. 555-555-1234)
Email

Camp position(s) I would consider:
Please carefully read the position descriptions for each position that you apply for!
If choosing more than one position, please number in order of preference.
Counselor
Lifeguard *
Craft Assistant *
Cooking Helper
Photographer
Handyperson / Night Security
Dishwasher
Nurse
Recreation Coordinator *
Craft Coordinator *
Worship Coordinator *
* May be scheduled to help with dishwashing as well
Position Description:
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Click a position title above for a detailed description ...
Other Information:
I Would Like To Help With ...
Fun Singing
Worship
Instruments I Play
Current First Aid Training
Select If Supplying Your Own Accomodation

Describe your relationship with God and where you are in your current walk with Him:
Please describe your involvement in your local church in the past year:
Are there any things on your social networking sites (e.g. Facebook, MySpace, Twitter) that would be questionable if campers were to see it?
Dietary Concerns / Medical Problems / Comments:

Important Notes:
  • A POLICE RECORD CHECK IS REQUIRED to be on file, before you will be accepted. Please coordinate this by contacting the Staff Coordinator via the Contacts button. Allow 3 weeks to process from your local Police Department.
  • There is a NO SMOKING POLICY at the camp that applies to staff & campers.
  • Staff are expected to set the example in the area of general conduct. (e.g. language, dress, behaviour, etc.)
  • You will be contacted to confirm your acceptance of camp staff, once police check and references are confirmed.

Check this box if you have READ and AGREE to the above notes.

I am aware that camp starts on Saturday for staff members and that being in attendance at this time is mandatory in order to staff at camp. I am available and will be arriving on Saturday of the week of camp I have signed up for.