El Rancho Camp Parent Application
Name:
*
First Name
Surname
Address:
*
Street Address
Street Address Line 2
Suburb
City
Zip Code
Phone Number
*
E-mail
*
example@example.com
Date of Birth:
*
-
Month
-
Day
Year
Date
Are you available from 11am, Monday 10th - 4pm - Friday 14th October 2022.
*
Yes
No (please indicate what days/hours you would be available during these dates.)
As this is a week-long overnight camp, would you need accommodation?
*
Yes
No
Do you have a current First Aid Certificate? (This is recommended but not required).
*
Yes
No
Are you comfortable with administering medication and providing first aid to children and youth at camp?
*
Yes
No
As this is a voluntary position, in return for your time we provide a complimentary spot for your own child/children to attend Kids Camp. Would you intend to bring your kids to camp?
*
No
Yes (please provide their name(s), gender, and DOB.)
Are you happy to sign a police check consent form?
*
Yes
No
What interests you about this role?
*
What skills or experiences do you have within a similar field?
*
What is the name of the church you are currently attending?
Please provide two references:
Full Name
Role
Email Address
Phone Number
1
2
Submit
Should be Empty: