Kattivik Volunteer Form 2026

Name*

First NameLast Name

Birthday*

Date

FemaleMale

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

YesNo

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to emergency contact*

Set up camp (June 15 - 28)Leadership retreat (June 29 - July 3)High school camp (July 6 - 11)Middle school camp (July 14 - 18)Take down camp (July 19-27)

Do you have any other skills that would be useful for the camp (musical, media, mechanic, construction, ability to drive a boat, killing mosquitoes, etc)?*

Do you have any limitations, allergies, or sensitivities that we should be aware of?*

Do you have any certifications (CPR, first aid, lifeguard, firearm safety, etc)?*

YesNo

What church do you attend?*

What is your testimony?*

What has God been working on in your heart lately?*

Why do you want to volunteer at Kattivik?*

Any questions for us?*

I agree

Waiver and Release of Liability

The following is a WAIVER AND RELEASE OF LIABILITY which releases Changepoint Alaska Church/Kattivik Bible Camp and its affiliates, associates, officers, employees, agents, servants, directors, volunteers, representatives, sponsors and any others (hereinafter “Releasees”) who may or could be liable for any claims, losses, liability, fault, damage, injury to person or property, medical bills or any other loss or claim which the undersigned have or could have as a result of any alleged incident, claim, negligence, act and/or omission of any kind or character. The undersigned forever discharges, releases and holds harmless Changepoint Alaska Church and Kattivik Bible Camp, and its Releasees from any allegations of any kind, including, but not limited to, negligence, breach of duty of claims in regard to the undersigned and any and all persons who the undersigned represent regarding attendance at any Changepoint Alaska Church/Kattivik Bible Camp activity.
The undersigned agrees to hold harmless, indemnify, and defend Releasees from claim, damage, injury, loss or suit, including any claims by third parties and agree to indemnify Releasees for any loss or liability arising out of any Changepoint Alaska Church/Kattivik Bible Camp or activity, even if Changepoint Alaska Church/Kattivik Bible Camp, and its Releasees are negligent or are alleged to be negligent.

Signature*

Date*

Date

Kattivik Volunteer Form 2026

Your information

Emergency Contact Information

Camp information

Getting to know you!

Quyaana!