Summer Camp 2025 Volunteer Registration

Volunteer Information

Background checks are performed and a PASS result will be required before camp.
Summer Camp 2025 Volunteer Registration

*Full Registration is due by May 15th* ($25 Late fee after)
*YOU MUST BE PAID IN FULL FOR REGISTRATION TO BE COMPLETE*

*Today's Payment is OPTIONAL! You can still fill out the form and submit without payment today*
Volunteer's Name*

First NameLast Name
Age*
Birth Date*

MonthDayYear
Gender*

MaleFemale
Which Camp will the Volunteer be participating in? If unsure, leave blank.

Jr. Adventure (Grades 1-6)Sr. Summit (Grades 7-12)
T-shirt Size*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*

Area CodePhone Number
E-mail*
example@example.com
Church Name*
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
Do you have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Are you prescribed any medications and/or inhaler? If yes, please add medication(s) and explain any instructions.*

Want to pay for camp now? (optional)

Camper fee $250.00

- We will Send an Invoice to your email for any remaining balance. - After May 1st, Refunds will not be given for any reason. - After May 15th there is a $25 late registration fee if the fee isn't paid in full.

Quantity

Enter coupon

Subtotal $0.00Tax $0.00Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please tell us about your spiritual journey and your salvation experience.*
Informed Consent and Acknowledgement

I hereby consent to participate in any and all activities prepared by Second Chance Ministries/Camp Penuel during the selected camps. In exchange for my acceptance by Second Chance Ministries/Camp Penuel. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Second Chance Ministries/Camp Penuel and all its respective volunteers, agents, and representatives from any and all liability for injuries arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury, I hereby waive all claims against Second Chance Ministries/Camp Penuel, including all counselors and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all outdoor activities, including basketball, volleyball, gaga ball, 9 square, etc. Some of these injuries include but are not limited to, the risk of fractures, paralysis, or death.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Medical Release and Authorization

I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of my life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination, and immunizations. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I give authorization for medical treatment.

Permission is also granted to the Second Chance Ministries/Camp Penuel and its affiliates including Directors, Counselors, and Leaders to provide the needed emergency treatment prior to my admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances.
Informed Consent and Acknowledgement and Medical Release & Authorization Signature*

Clear

Summer Camp Expectations

Code of Conduct
1. The behaviour exhibited at camp should always be kept within Christian principles.
2. Respect for church services, each other, and yourself is a must.
  The use of alcohol, illegal drugs, tobacco or marijuana products of any kind including electronic cigarettes are absolutely prohibited.
3. Absolutely No pranks that hurt feelings, people, property of others, or campground. Be mindful of others.
4. NO PUBLIC DISPLAY OF AFFECTIONS! MAKE ROOM FOR JESUS!
Boundary Limitations
1. No camper or worker will be permitted to leave the campground without permission from the Camp Director.
2. Absolutely NO swimming or wading permitted in the lake at any time.
3. No camper or worker is permitted beyond the fence line of the dam.
4. No camper is permitted West of the Lake beyond the bridge unless accompanied by counsellors authorized by Camp Director.
5. No camper or worker is permitted in the dorms of the opposite sex.
6. Sr. campers are not permitted in or around jr. camp dorms unless directed by a counselor.
Dress Code
1. Clothing at the camp must be modest Christian attire.
2. Shorts need to be mid-thigh or longer in length. Skirts need to be knee-length or longer in length.
3. Shirts must completely cover the stomach and chest.
4. Clothing must completely cover all undergarments.
5. One-piece or modest tankini swimwear are permitted with the approval of their church leader.
6. Boys are required to wear shirts or tanks at all times. Nothing that shows the chest or belly. (cut-offs)
7. Shoes must be worn at all times except while swimming.
8. No inappropriate graphics or wording on clothing.
ALL ATTIRE IS SUBJECT TO THE DISCRETION OF THE COUNSELOR ACCORDING TO THIS DRESS CODE. CAMP DIRECTOR HAS FINAL SAY.

Electronics and Devices

We are NOT responsible for lost or stolen property.
1. No electronic entertainment devices should be brought to camp.
2. Cell phones must be turned in at registration.
Workers/Volunteers
1. All camp workers must have given their life to Christ and show a Christian lifestyle.
2. All workers are subject to background checks.
Corrective Guidance

If these expectations are not met, corrective guidance up to and including dismissal from the camp without refund may be necessary.

Counselors have discretion over improper conduct.

Camp Director has the final say.

Visitors
1. All visitors must check-in at registration before entering the campground.
2. Visitor tags must be worn and visible at all times.
3. All visitors are required to leave the grounds no later than 30 minutes after evening service.
4. NO visitors, after registration, are permitted in the camp dorms or swimming area at all.
5. All visitors are subject to the expectations listed above.
By signing, I acknowledge that I have read the above expectations and agree that I will abide by them.
By signing, I acknowledge that I have read the above expectations and agree that I abide by them. Signature of Volunteer:

Clear
Please verify that you are human*
Should be Empty: