Application

Returning Staff & Counselors

Important Information

August 6-11, 2023

If your schedule will not allow you to be at Camp by the time Campers arrive (Monday noon) and stay through the time Campers leave (Friday noon), we will not plan for your participation as a Counselor at Camp. It is important for you to know this and to let us know as soon as you realize you cannot meet these guidelines.

Training #1 - First Timers

Friday, June 16 from 6-9pm

Training #2 - Everyone

Saturday, June17 from 7am–4pm

Commissioning Service

Sunday, August 6

Week of Camp

Sunday, August 6 - Friday, August 11

After Camp Debriefing

Friday, Aug 11 from 4-6 pm

Welcome Home Dinner

Friday, Aug 11 at 6 pm

Personal Information
Name



Counselor or Staff position (list specific staff capacity)

Do you have current certifications in the following?
Contact Information
Address



Emergency Contact Info
Emergency Contact Name
Medical Updates
Have you had any new medical problems? 
Do you have any medication, dietary or other medicine/drug allergies? 
Do you take any medications? 

“Same as last year” is not a sufficient answer

Have you had any serious injuries or illness since last Camp? 
Do you have any dietary restrictions/concerns? 
Miscellaneous
Since your original application have you been arrested for a criminal offense? 
Since your original application have you been accused of any sexual misconduct? 
Since your original application have you been convicted of any sexual misconduct? 

Acknowledge and Sign
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If you are under 18 your Parent or Guardian must sign as your witness so that we can legally seek emergency medical care for you.
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