Counselor Registration

Fall 2020 Counselor REgistration form

Which days you are able to counsel will depend on how many people are interested in counseling on any given day. We will do our best to make sure people get their first or second choice, but if there are any days that you do not want to counsel you should leave the response as N/A.

Depending on how many people are interested in counseling this fall, most counselors may only be able to help out for one day, be sure to look out for a confirmation from Twig to know which days to come out. You may only come to camp on the days you are asked to volunteer.

Please use these drop down boxes to rank your preferred days. Rank your top choice as "First" and any other days you would like to counsel in the order you would prefer. If you are unavailable to counsel any of the days then leave the answer as N/A.

Junior High- October 17 *

Senior High- October 31 *

How may days would you counsel if possible? *

Both Only One

* Indicates required field

Name *

First

Last

Birth Date *

Gender *

Male Female

Have you counseled before? *

Yes No

Have you graduated High School? *

Yes No

Address *

City *

State *

ZIP *

Phone Number *

Email *

Church *

Pastor *

Emergency Contact Name *

Emergency Contact Number *

Release as to Photographic, Movie and Video Images
The undersigned irrevocably consents to and authorizes the use and reproduction of any and all photographic and video images taken during the retreat. The use and reproduction of images is at the discretion of Faith Bible Camp whether for advertising, promotional or other legal purposes without additional consideration or compensation to the undersigned. Originals and copies or images are and will remain the sole property of Faith Bible Camp.

Signature *

Release of Claims and Waiver of Liability
The undersigned applicant acknowledges, understands, and agrees that as to the contemplated camp retreat with Faith Bible Camp:

1. There are unique physical demands and risks involved in all activities;
2. Activities can be of a dangerous nature and may result in various types of injury including, but not limited to the following: sickness, exposure to infectious/communicable disease, dislocations, broken bones, lacerations, abrasions, bruising, strains, sprains, etc. Paralysis, distress, damage, or death can result by participation in any activity.
3. That instructions given must be followed for ongoing participation and safety of the applicant; and
4. That Faith Bible Camp retains the right of final approval of all participants and the right to terminate a participant's involvement in a retreat at its discretion.

In consideration of conducting the retreat and based on the above, Faith Bible Camp, it's board members, member churches, directors, employees, agents and their heirs, executors and assigns are released as to any and all claims for damages, including but not limited to injuries, whether to person or property, known or unknown that the undersigned has or may have in the future arising out of and in connection with the contemplated retreat.
I hereby authorize Faith Bible Camp to consent to emergency medical or dental care for me or my child while attending Faith Bible Camp.

Signature *

Date *

If you choose to you may upload a signed copy of the Pre-Registration Health Form and COVID-19 Waiver, which can be found on this website here. You may also print the form and bring it the day of camp.

Pre-Registration Health Form *

Max file size: 20MB

COVID-19 Waiver *

Max file size: 20MB

By submitting this registration you acknowledge that you have read and understood the Camp Policies listed on this website and agree to comply with the listed policies and any other policies put in place in response to COVID-19.

Agree & Submit

2020 Counselor Registration

Fall 2020 Counselor REgistration form