• PB and J Youth Staff Registration

    Read the announcement sheet below in full before proceeding. This has all requirements listed for the application to be complete. Registration are due by Feb 11, 2023
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  • Medical Permission Form

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  • NOTE: If participant is taking prescription medication regularly, please bring a supply in the original prescription bottle in the name of the participant. This will be turned over to medical staff for dispensing and kept in the medical station. It is the responsibility of the participant to go to the medical station to take his/her medication as directed by the prescription. 

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  • Waiver of Claim/Media and Medical Release

  • NOTE: All attachements within this form will be sent to your email after submission for your further review.

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    Pick a Date
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    Pick a Date
  • If you are over 18 years old or will be over 18 by the start date of camp - 

    Within 7 days of submitting your application, you will recieve an email with a request for a background check. Please follow the instructions and email all necessary paperwork in. 

    If you have been background checked previously (in the past 3 years with PB and J) please read and sign the following. 

    AFFIDAVIT

     

    I,   the Applicant named in this application  hereby swear or affirm that during the past year I have not been convicted of, charged with, nor am I under investigation for crimes described below. In the event I have been convicted of, charged with or am under investigation for such crimes, I have provided a written explanation.

    Criminal homicide, assault, stalking, kidnapping, unlawful restraint, sexual assault, indecent exposure, endangering welfare of children, corruption of minors, sexual abuse of children, including but not limited to possession or transmission of child pornography, or the attempt, solicitation or conspiracy to commit any of the offenses set forth in this paragraph.

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  • YOUTH STAFF COST

    Each Youth Staff Applicant will be required to pay $60 for your application. This is due with your application and is non refundable.

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