A Moment In Time Summer Camp Leader Application

Leader Application Form

To be considered for a leader role at the camp, you must complete the form below accurately.
Name

First NameLast Name
Contact Phone Number

Area CodePhone Number
E-mail Address*
example@example.com
Parent of camper (if applicable)
Have you been a leader at previous Camps of Hope?
Church member or affiliate (please state which Church)
Dietary restrictions or allergies (if any)
Medical Information
Doctor’s name
Doctor’s phone
Medicare no

Leader Criteria

The minimum criteria is outlined below, further details will be provided should your application be accepted.
A 'Hope Camps: Moment In Time Leader Handbook' will be provided to you once the application is submitted. If the application is approved, this handbook should be made familiar to you.

Please pray for the camp.

Pr Edi

Working with Children Check (mandatory)

Cancelof
First Aid & CPR (preferred but not mandatory)

Cancelof
In case of EMERGENCY I hereby give permission to the doctor selected by the camp director to hospitalise and secure proper treatment relative ONLY to the emergency for myself as named on this form.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Leader Application Form