Support Volunteer Application Form

Support Volunteer Application Form
Instructions:

This application must be completed by anyone wishing to be a Support Volunteer at Moose Lake Gospel Camp. In order for MLGC to provide a secure environment both for the children it ministers to and also the leaders that minister, the following questions must be answered honestly and completely. Support volunteers are generally parent volunteers or maintenance volunteers

The MLGC Board Members/ Directors will keep all information strictly confidential. (Police may access this information, if requested.) Any questions of a sensitive or personal nature may be discussed with the MLGC Board/ Director upon completion and may not necessarily preclude your involvement at MLGC.
Name*

First NameLast Name
Name and age of any children you may be bringing with you:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Camps
What camp(s) will you be attending?*

Sr TeenJr YouthChildrens #1Childrens #2Family Camp #1Family Camp #2
Why will you be at camp?*
What days are you planning on being at camp, if you will not be attending the entire week?*

Confidential Information
Do you have a criminal record or have you ever been convicted of a criminal offence?*

YesNo
Have you used illegal drugs?*

YesNo
Have you ever been accused or arrested for any sexual or abusive crimes?*

YesNo
Do you have or have you ever had any psychiatric health problems?*

YesNo
If you answered yes to any of the above questions, please explain.
I agree to providing a Vulnerable Sector Check from 2025, prior to the first day I plan on arriving at camp (Note: please email it to executivedirector@mlgc.ca if you do not have it available now)*

I agree
Vulnerable Sector Check

Cancelof

Liability and Health Release
You release Moose Lake Gospel Camp, its staff, volunteers, and board members from all manner of actions, claims, and demands of whatever nature resulting from any loss, injury, or expense sustained, during your attendance at Moose Lake Gospel Camp.*

I agree

Media Consent & Release
I authorize Moose Lake Gospel Camp to take images or video footage of me, in whole or in part for various purposes. I waive any right to compensation, promotional material, and legal actions resulting from any media materials collected.*

I acceptI do not accept

Commitment
Should my application be accepted, I agree to be bound by the Moose Lake Gospel Camp disciplinary processes if I am to break any MLGC policy or rule while serving at Moose Lake Gospel Camp*

I agree
I agree that all the information given in the application is accurate and true. *

I agree
By checking this box you are giving your electronic signature for all information collected on this application form.*

I agree
Should be Empty:

Health