“Thar’s GOLD In Them Thar Pages!”
Redwood Empire Baptist Association 2018 Children’s Camp
“MINER 49er” God’s Word is more desirable than gold; yes, more than even much fine gold! Psalm 19:10
ADULT CAMP COUNSELOR Registration Form Children’s Camp: JULY 22 - 26 [Sunday, 1:00 pm - Thursday Lunch]
Counselor’s Name: _________________________________________________________________ Sex: M ____ F____ Address: _______________________________________________ City: _______________________ Zip: ___________ Home Phone: ________________________________ Cell Phone: ___________________________________________ Home Church: _______________________________________________________________________________________ Email: _________________________________________________________________
T-Shirt Size: _________________
COST per Counselor: $200
Registration form and fee must be received by JUNE 28 to guarantee receipt of custom t-shirt. Make checks payable to:
REBA (Redwood Empire Baptist Association) and write on the memo line: CHILDREN’S CAMP COUNSELOR
Mail this form and payment to:
REBA c/o Cazadero Children’s Camp PO Box 2042 Vacaville, CA 95696
INFORMATION for the Camp Nurse: Family Health Insurance Co: _______________________________________________
Policy # ________________________
Emergency contact: ___________________________________________________
Ph # __________________________
Emergency contact: _____________________________________________________
Ph # __________________________
List your medications and allergies (incl. food):__________________________________________________________________
FIRST AID AUTHORIZATION and RELEASE OF LIABILITY: In the event of an accident or illness, I authorize the Camp Staff to administer emergency First Aid until EMS personnel arrive or until arrival at a medical facility. I also release the Camp Board, REBA Staff, and Camp Staff from all liability upon any claim, demand, or action which might be asserted against the Camp and these designated representatives. SCREENING CERTIFICATION: By applying to serve as a Camp Counselor, I certify that I have completed a Criminal Background Check and Screening through my local church and will attend the required Camp Counselor Orientation. Applicant’s Signature: _______________________________________________________________ Applicant’s Local Pastor’s Signature: _______________________________________________________________
◄ IMPORTANT NOTICE ON ACCOMMODATIONS on the back. Also, using the back of this sheet, please summarize your salvation experience and list any personal gifts or talents that you can utilize during the Children’s Camp week.
NOTICE ON ACCOMMODATIONS: DISTRIBUTION of CAMPERS and COUNSELORS in CAMP CAZADERO CABINS: Many factors must be taken into consideration when housing our campers and counselors — for example: age, sex, cabin capacities, the protective TWO ADULT Rule, churched and unchurched children, and friendship preferences — Therefore, camp cabins may be assigned to participants from more than one church, or it may require more than one cabin to house campers and counselors from a single church. The Redwood Empire Camp Directors will do their best to accommodate all campers and counselors according to their desired configurations, however, flexibility, courtesy, and cooperation must be exercised in the event your group is divided or recombined with members of another group. Remember, meeting new people, learning teamwork, and loving one’s neighbor are all lessons of Christian camping.
Salvation experience and list of personal gifts or talents: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Rev 4-2-18