Tui Ridge Park Holiday Camp Nurse/Medical Volunteer Application Form

Tui Ridge Park Holiday Camp Nurse/Medical Volunteer Application Form

Please note: Camp Nurse/Medical volunteer applicants may include qualified or student nurses, paramedics, or others 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 Kids Camp (5-10 July)July 2026 Teen Camp (12-17 July)Sept./Oct. 2026 Kids Camp (27 Sept. - Oct. 2)October 2026 Teen 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.*
Please indicate if you have any allergies.*
Emergency Contact
Name*

First NameLast Name
Phone Number*

Carrier PrefixPhone Number
Relationship:*

Shirt Size:

Leaders will be provided with a uniform shirt to wear during registration and sign out.
Size:*

XSSMLXL
References

Please provide two references (family members will not be accepted as references).
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 download the NZ Police Vetting Consent form here. Once filled out, please email it to Alena at alena@tuiridgepark.co.nz along with photos of 2 pieces of ID (one of which must be government-issued photo ID). 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.*

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Medical and Emergency Contact Info