Tui Ridge Park Holiday Camp Medical Volunteer Application Form

Tui Ridge Park Holiday Camp Medical Volunteer Application Form

Please note: Camp Medical volunteer applicants may include qualified or student nurses, paramedics, or other individuals with relevant medical or first aid experience. All applicants must hold a current First Aid Certificate and upload proof with this application. Applicants should be available for the full duration of camp, including pre-camp orientation and safety briefings. Applicants must be 18 years of age or older and consent to a criminal record check.
Name*

First NameLast Name
Phone Number*

Carrier PrefixPhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CitySuburb

Post Code
Birth Date*

MonthDayYear
Date
Current Age*
Gender*
Home Church*
Which camp(s) are you applying to be a leader at? (Please see top of page for age requirements.)*

April 2026 Teen Camp (7-10 April)April 2026 Kids Camp (12-17 April)July 2026 Teen Camp (5-10 July)July 2026 Kids Camp (12-17 July)Sept./Oct. 2026 Teen Camp (27 Sept. - Oct. 2)October 2026 Kids Camp (4-9 Oct.)

Medical and Emergency Contact Info
Do you have any medical conditions that could impact your ability to serve at camp?*

YesNo
If yes, please explain.
Please indicate if you have any dietary restrictions.*
e.g. vegetarian, gluten free, dairy free, etc.
Please indicate if you have any allergies.*
e.g. nuts, bee stings, etc.
Emergency Contact
Name*

First NameLast Name
Phone Number*

Carrier PrefixPhone Number
Relationship:*

Shirt Size:
Size:*

XSSMLXL
References

Please provide two references (family members will not be accepted as references). If you have any trouble finding references, please send an email to alena@tuiridgepark.co.nz.
Reference 1:

Pastor/Employer/Mentor
Reference 1 Name*

First NameLast Name
Reference 1 Relationship*
Reference 1 Email*
example@example.com
Reference 1 Phone Number*

Carrier PrefixPhone Number
Reference 2:

Professor/Colleague/Supervisor
Reference 2 Name*

First NameLast Name
Reference 2 Relationship*
Reference 2 Email*
example@example.com
Reference 2 Phone Number*

Carrier PrefixPhone Number
By checking this box, I confirm that neither of the above listed references are related to me.*

I agree

Police Check Consent & Document Upload
Please complete the NZ Police Vetting Consent form here. Once completed, please email photos of 2 pieces of ID (one of which must be government-issued photo ID) to Alena at alena@tuiridgepark.co.nz. Your application will not be considered until this is submitted.
Please upload your First Aid Certificate and any other relevant qualifications/certifications:*

Cancelof
Signature

By signing here, you agree to that the information you provided is accurate and complete to the best of your knowledge. You also agree that you are willing to abide by the camp policies and procedures.
Please sign here.*
Should be Empty:

Medical and Emergency Contact Info