Camp CAMREC Staff Application

Please list 2 references other than the pastor you might have listed above:

I certify that I am 18 years of age or older. I understand the questions contained in the Personal  Statement and hereby give permission to Camp CAMREC to complete a criminal background check and to maintain this information in its files.  

I hereby authorize Camp CAMREC to contact all listed employers and references to verify and obtain information pertaining to my past work and character. I release all employers and  references from any liability for information provided in good faith. 

I understand that the information provided in this application is true and complete to the best of  my knowledge and that any incorrect, incomplete or false statement of information furnished by  me may be grounds for rejection or dismissal from service. I understand the position responsibilities, the amounts in the nominal stipend package, and that the position is in  “volunteer staff”. If I am selected, I am willing to provide services under the terms stated.  

I understand that, if selected, my service at Camp CAMREC will not be considered “employment”  for purposes of Washington unemployment compensation law and I may not be eligible to receive  unemployment benefits based on services performed for Camp CAMREC. 

I, the applicant, understand the questions contained in the Personal  Statement and hereby give permission to Camp CAMREC to complete a criminal background check and to maintain this information in its files.  

I hereby authorize Camp CAMREC to contact all listed employers and references to verify and obtain information pertaining to my past work and character. I release all employers and  references from any liability for information provided in good faith. 

I understand that the information provided in this application is true and complete to the best of  my knowledge and that any incorrect, incomplete or false statement of information furnished by  me may be grounds for rejection or dismissal from service. I understand the position responsibilities, the benefits provided to volunteers under 18 year of age, and that the position is in  “volunteer staff”. If I am selected, I am willing to provide services under the terms stated.  

I understand that, if selected, my service at Camp CAMREC will not be considered “employment”  for purposes of Washington unemployment compensation law and I may not be eligible to receive  unemployment benefits based on services performed for Camp CAMREC. 

The undersigned custodial parent or guardian joins in all the foregoing acknowledgments, permissions, and commitments on behalf of themself, the applicant, and every other parent or guardian of the applicant.

If selected and if the applicant turns 18 before or during the designated period of service, the applicant and the parent or guardian understand that the applicant will be required to re-sign this acknowledgment as a condition to further participation in Camp CAMREC service opportunities.

ASSUMPTION OF RISK AND LIABILITY RELEASE: I assume, for myself, the risks, including the risk of illness, injury, death and damage to property, inherent in the activities associated with camping including, but not limited to, tobogganing, tubing, sledding, and other snow sports; swimming, floating, and other water sports; climbing, hiking, and other mountain sports; and other exposure to the conditions of nature in a rural, mountain environment. I agree to release, hold harmless, and indemnify Washington Mennonite Fellowship/Camp CAMREC and its
caretakers, staff, officers, directors, and/or agents from any damages, claims, liabilities, and injuries relating to my participation in any Camp CAMREC activities and my use of camp dining, lodging, and other facilities made available to me.

MEDICAL RELEASE: This health history is correct so far as I know. I agree to release, hold harmless and indemnify Washington Mennonite Fellowship/Camp CAMREC and its caretakers, staff, officers, directors, and/or agents from any damages, claims, liabilities, or injury suffered by myself at or involved with Camp CAMREC, including but not limited to those arising from the rendering of first aid, the provision of over-the-counter medications at my request, or referral to health care providers.

PUBLICITY: I grant to Washington Mennonite Fellowship/Camp CAMREC and to its agents the right to photograph or film my participation in Camp CAMREC activities and use the photos and/or other reproduction of my images for publication purposes, whether electronic, print, digital, or publishing via the Internet without compensation or approval rights.

ASSUMPTION OF RISK AND LIABILITY RELEASE: I am the custodial parent or guardian of the applicant and I assume for myself, the applicant, and every other parent or guardian the risks, including the risk of illness, injury, death and damage to property, inherent in the activities associated with camping including, but not limited to, tobogganing, tubing, sledding, and other snow sports; swimming, floating, and other water sports; climbing, hiking, and other mountain sports; and other exposure to the conditions of nature in a rural, mountain environment. I agree, for all such persons, to the full extent permitted by Washington law, to release and hold harmless Washington Mennonite Fellowship/Camp CAMREC and its caretakers, staff, officers, directors, and/or agents from any damages, claims, liabilities, and injuries relating the applicant’s participation in any Camp CAMREC activities and the applicant’s use of camp dining, lodging, and other facilities made available to him or her.

MEDICAL RELEASE: The health history provided above is correct so far as I know. To the full extent permitted by Washington law, I agree for myself, the applicant, and every other parent or guardian to release and hold harmless Washington Mennonite Fellowship/Camp CAMREC and its caretakers, staff, officers, directors, and/or agents from any damages, claims, liabilities, or injury suffered by the applicant at or involved with Camp CAMREC, including but not limited to those arising from the rendering of first aid or medical treatment. I hereby give permission, on behalf of all such persons, to the appropriate licensed health care provider(s) selected by camp staff or their designees to order X-rays, routine tests, and treatment for the health of the applicant named above and, in the event I cannot be reached in an emergency, I hereby give permission, on behalf of all such persons, to such provider(s) to hospitalize, secure proper treatment for, and to order injection and/or anesthesia and/or surgery for this applicant. I hereby give permission, on behalf of all such persons, to the camp program director, camp medical staff, and/or their designees to dispense to the applicant the prescription and over-the-counter medications that I provide to such staff upon the applicant’s arrival, so long as all such medications are in their original containers and all prescription medications are labeled with the applicant’s name and health care provider’s ordered dose on the bottle, and to dispense other over-the-counter medications to the applicant if indicated by minor injuries, pain, or discomfort. This form may be photocopied for use outside of camp.

MEDIA RELEASE: I grant for myself, the applicant, and every other parent or guardian  to Washington Mennonite Fellowship/Camp CAMREC and to its agents the right to photograph or film the applicant’s participation in Camp CAMREC activities and use the photos and/or other reproduction of the applicant’s images for publication purposes, whether electronic, print, digital, or publishing via the Internet without compensation or approval rights.

If the applicant is selected and if they turn 18 before or during the designated period of service, I understand, on behalf of myself, the applicant, and any other parent or guardian, that the applicant will be required to sign an assumption and release similar to the foregoing as a condition to further participation in Camp CAMREC service opportunities.