Disclaimer - All information provided in this form is private and confidential, and will only be shared with your key youth group leader for camp purposes.

Personal Information
Name *
Name
Gender *
Date of Birth *
Date of Birth
Where would you ideally serve? *
Think about your strengths and gifts!
Availability *
We would love to have you on-site for the whole weekend! And yes, sleeping in a tent! We understand that people may have commitments outside of camp during the weekend, so we are happy to accomodate these. However, please make an effort to be onsite, even if you're not serving! Your energy makes a difference!
I would like to stay onsite in the volunteers camp area! *
Dietary Requirements *
Please select as many that apply to you. If none, check "N/A".
Medical Information
Make sure your key youth leader is aware of any medical needs for camp, as they are responsible for you during camp.
Do you have any pre-existing medical conditions/disabilities? *
Do you take any medication regularly? *
Emergency Contact
Contact Information for a parent/guardian in case of an emergency
Name *
Name
Mother, Father, Grandad, Aunty etc
Promotional Disclaimer
I give permission for any photo and/or video material taken of me at camp to be used in future promotional material. *