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
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
If 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:
Rows
Full Name
Role
Email Address
Phone Number
1
2
Submit
Should be Empty: