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POWEROF2YOUTHCAMP
Volunteer Application 2015
If you are traveling with Bro. Duane Moore as a Summer Intern, this is
not the correct form. Please complete the
Jun 27-28
Jun 29-Jul 1
July 1-3
July 4-5
July 6-10
Our greatest demand for young camp workers will be during Junior Camp and
Camp Prep Days. ONLY A SMALL NUMBER OF TEEN WEEK VOLUNTEERS
ARE NEEDED AND ACCEPTED.
CLASSIFICATIONS & COST:
Counselors must be at least 16 and preferably be a high school senior or graduate
(for Junior Camp). Counselors will generally have a group of campers assigned to them
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
for oversight along with other camp duties during Junior Camp. During Teen Camp,
Counselors are used in the canteen, games and any other areas as directed by the camp
leadership. They are generally not assigned camper groups during Teen Camps. These
rules are subject to director review and override. Teen Counselors generally have
completed high school.
Camp Workers must be at least 13 years of age (unless approved in advance by
the director). Workers will also consist of ADULT volunteers that assist with the various
logistics of the camp weeks. Camp Workers generally do not have direct camper
oversight but do occasionally assist camp counselors with a cabin of junior campers and
they assist with various preparations and activities during game or service time.
COST FOR VOLUNTEERS:
FOR JUNIOR CAMP: There will be NO COST for individuals accepted as volunteers
(Counselors or Workers) for Junior Camp. The volunteer will be responsible for their
own canteen cost and weekend cost if appropriate.
FOR TEEN CAMP: Only a limited number of those qualifying as COUNSELORS
will be accepted for Teen Camp. Those accepted will be asked to pay $90. This cost is
required to pay the head cost due the camp facility and other administration. In
addition you will be responsible for your canteen and weekend expenses.
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VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
APPRECIATION WEEKEND:
The Camp is pleased to invite anyone volunteering this year to participate in Volunteer
Appreciation Activities.
The following activities are scheduled:
Following the closure of Junior Camp on Wednesday, July 1, the camp group will travel
to Pigeon Forge, TN. A private devotional service will be conducted on the bus. The
group will enjoy an activity on Wednesday night in Pigeon Forge.
Thursday morning, July 2, the group will enjoy breakfast and possibly local attractions
before heading to DOLLYWOOD about 2 pm where we stay until 10 pm close. The
group will return to DOLLYWOOD on Friday, July 3. We will leave Dollywood that
evening and head home.
Wahoo Baptist Church is providing transportation in their touring bus. The program
includes all activities, Dollywood tickets, two nights motel accommodations (shared
rooms), and all meals. *activities subject to change
The cost to participate is $180/person (for those in the volunteer program). THE CAMP
WILL PAY (you can go for $90) if you are (1) a Junior Camp Volunteer and a Teen
Camp Volunteer OR (2) a Junior Camp Volunteer and a paying Teen Camper. If you
are not a participating camp volunteer the cost will be determined by your participation.
*** YOU MUST PRE-REGISTER TO HOLD YOUR PLACE.
(Note: if you have Dollywood Season passes, we will make an adjustment to your cost of
$45. Lodging is based on 3 or 4 to a room, but we will work with couples. There may be
an additional cost.)
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VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
GENERAL REQUIREMENTS:
ALL COUNSELORS AND WORKERS MUST ATTEND ALL SERVICES
DURING CAMP! (unless duties require your absence)
All counselors and workers are required to stay at camp during the days they
volunteer until clean-up is complete on the last camp day and they are dismissed by
the director.
JUNIOR CAMP VOLUNTEERS are STRONGLY ENCOURAGED to be a part of
the efforts on SATURDAY, JUNE 27th required to set up for camp. We will start
early on Saturday AM. If at all possible, all volunteers especially those tapped as
Counselors need to arrive at the camp by Sunday evening so that they are accessible
as the campers arrive early on Monday morning.
The work of the volunteer will be intense, long and at times hard. He/She will be asked
to pull extended hours as they become engaged in a host of activities. The range of tasks
assigned to a volunteer can be broad. Some tasks may place the volunteer in a leadership
roll, on the platform, or directly involved with those ministered to. At other times, the
volunteer will be involved in mundane tasks behind the scenes. These tasks could
include office work, housekeeping, kitchen, set up/tear down and more. The volunteer
applicant submits to these tasks. The individual assignments will be determined by the
director based on need, availability, and experience.
Being a VOLUNTEER will be a very rewarding experience. The volunteer will be
strengthened spiritually, exposed to many ministries and have the chance to touch
potentially hundreds of lives for Christ.
The VOLUNTEER agrees to abide by the Standards of Northeast Georgia Youth Camp
and Preachin' Time Ministries (both in their work time and personal time during their
active time of volunteering). The volunteer must further agree to submit to the doctrinal
position of the same.
You should commit to pray in advance and during your tenure as volunteer. Pray that
God will work in the lives of the campers, guide and direct the leadership, and protect all
those involved in the camp ministry.
POWEROF2YOUTHCAMP reserves the right to reject any application without
cause.
The camp ministry of Wahoo Baptist Church and Preachin Time Ministries is a very
serious matter and very important to the leadership. The following questions are
designed to give the camp leadership insight into your qualifications and mindset to
enable us to make informed decisions about our volunteer staff. Please complete the
application fully and provide the appropriate signatures. You will need your pastors
recommendation on page 18. If you are 18 or older, please complete the Georgia Crime
Page 4 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
Information Center Consent Form on page 19. This form must be notarized. No back
ground check is required if you completed one in the three previous years or consented to
periodic reviews. If you are volunteering at Junior Camp and attending Teen Camp as a
camper, you ONLY need to submit this application. You can forward your fees
accordingly.
Page 5 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
Page 6 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
List the Activities you are involved in at your church. Include positions you may
hold and responsibilities you have at church (now and in the past). Give us a feel
for the types of things you participate in and the experience that you have. Feel free
to relate experiences that you have had in the past. RETURNING VOLUNTEERS
MAY SKIP THIS QUESTION. TYPE RETURNING VOLUNTEER IN THE
FIELD. PLEASE UPDATE YOUR PAST INFORMATION IF APPROPRIATE.
Page 7 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
Tell us why you are interested in this VOLUNTEER PROGRAM. What do you
hope to achieve during your time at camp? What do you expect to leave with when
your program has ended? What would you like to be involved in during your
program? What have you done in the past with PTM or Northeast Georgia Youth
camp? INCLUDE the DATES. RETURNING VOLUNTEERS MAY SKIP THIS
QUESTION. TYPE RETURNING VOLUNTEER IN THE FIELD.
TELL US ABOUT SPECIALIZED SKILLS YOU MAY HAVE: i.e. Doctor, Nurse,
EMT, etc.
First aid training? Yes No
Date Completed?_____________________________
Date Completed?____________________________
OTHER:
________________________________________________________________________
________________________________________________________________________
Page 8 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
My Family :
Live at home with parents? ___ Their Name(s): ______________________________
My parents are divorced? ____ I have a step parent (define) ______________________
List Brothers/Sisters: ______________________________________________________
Page 9 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
We hope you are not offended by the following questions. Each and every volunteer has
the potential to impact children for good or for evil. Therefore, we must ensure that all
volunteers maintain a Biblical standard of Godliness in their personal behavior. We trust
that you share our desire to protect the precious children whom God has entrusted to us.
To further protect these children, the following background questions are required. We
understand that some may not be applicable to our youth volunteers. THESE
QUESTIONS MUST BE ANSWERED ANNUALLY!
1
Yes
No
Yes
No
Have you ever been or are you currently being investigated by a Yes
governmental agency for the abuse or endangerment of
children? If you answered yes please explain:
___________________________________________________
___________________________________________________
No
Yes
No
Yes
No
Have you ever been sued for negligence with regard to caring
for or supervising children?
If you answered yes, please explain:
___________________________________________________
___________________________________________________
Yes
No
Page 10 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
LEGAL STUFF:
Medications: (Please List ALL medications of ANY TYPE prescription, over the counter you take and/or have in your
possession.)
Physical Restrictions: (You are expected to FULLY PARTICIPATE in activities unless medically unable to do so)
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VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
_________
Date
__________________________________________
Day time Phone #
Cell Phone#
I cannot participate in the following activities: ___________________________________________________________
_______________________________________________________________________________________________
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VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
PLEASE ATTACH A LEGIBLE COPY OF THE FOLLOWING ITEMS TO THIS APPLICATION: (front and back if appropriate)
Drivers License
Insurance Card
Page 13 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
I, the undersigned parent or guardian, hereby consent to my child, ________________________, who is ____ years of
age, participating as a Volunteer (and/or camper when appropriate) during the Northeast Georgia Youth Camps Summer
Camp Season. The Camp Season covers the calendar months of June - July 2015. The Northeast Georgia Youth Camp is
operated by Wahoo Baptist Church in partnership with Preachin Time Ministries (A ministerial division of White Oak Springs
Baptist Church in Dallas, GA). The combined camp ministry is known as the POWEROF2YOUTHCAMP (THE CAMP) and is
directed by Pastor Mark Stroud and Evangelist Duane Moore. Most camp activities take place at the Union Grove Campground
in Cleveland, GA but also includes facilities at various other churches and locations as are necessary including other camp
facilities, amusement parks, etc. This release and authorization is intended to cover my childs involvement in activities prior
to and following after the days of the camp season as needed. This release and consent includes activities that are off the
various campus (both during the day and overnight) including but not limited to travel to and from entertainment like
amusement parks, restaurants, church services, etc. I understand that my child will be traveling in the company of Mark
Stroud, Duane Moore or their designate chaperone but may ride in smaller groups at their discretion. I expressly give my
permission for my child to ride in other private vehicles driven by other counselors or workers as needed. I understand that
volunteers may be required to stay overnight off campus for some activities. I understand that my child will be working at
camp and be required to do various tasks associated with camp. I understand that my child must stay until camp
assignments have been completed. My authorization and release extends to anyone that my child might ride with at THE
CAMPs discretion. I certify that my child is able to participate in these activities, including Camp work assignments, sports,
horse back riding, swimming (note: Not all activities may be available at Camp) and other camp related and weekend
activities organized for volunteers (unless indicated in the medical information section of this application). If my child has a
medical condition which may be relevant to a physician in the event of an emergency, I have listed them above in the medical
section of this application. In the event of an emergency, I may be reached at the telephone number listed above in this
application. If I cannot be reached within a reasonable period of time, I hereby authorize Mark Stroud or Duane Moore, camp
directors or their designated adult assistant to make emergency medical decisions for my child. I authorize camp personnel to
administer basic first aid and over the counter medications if needed. If there are any activities that I do not want my child to
participate in, I have listed them below my signature.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISK WHICH MAY BE ENCOUNTERED ON SAID ACTIVITIES,
INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold Mark Stroud, Wahoo Baptist
Church, Duane Moore, White Oak Springs Baptist Church, Preachin Time Ministries and all other facilities and individuals
involved in the 2015 camp season and their employees, agents, volunteer assistants, board of directors, members and
associates, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury
to me or my property, even injury resulting in death, which I now have or which may arise in the future in connection with the
activity or participation in any other associated activities. This release is given with the express intention of binding myself,
my spouse, legal representatives, heirs and assigns.
I EXPRESSLY AGREE TO ASSUME ALL FINANCIAL RESPONSIBILITY FOR ANY MEDICAL TREATMENT MY CHILD RECEIVES.
Insurance Company ______________________ Policy/ID _________________ Employer _______________No Ins____
By my signature I certify that the information that I have provided is true and complete. I agree to back ground checks of my
child at the ministrys discretion and as allowed by law. I authorize Wahoo Baptist Church and these associated ministries to
verify any information that I have provided on this form by contacting the references, churches, employers and others that I
may have listed and contacting others that I have not listed. Furthermore, I waive any rights that I may have to
confidentiality. I hereby release any individual, church, employer, reference or any other person or organization including
record custodians, both collectively and individually, from any and all liability for damages of compliance or any attempts to
comply with this authorization. I agree to the unrestricted use by THE CAMP and the related ministries of any and all photos,
recordings, videos and other recorded media of my child without compensation. This release includes posting to the internet
and mass distribution.
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by
the law of the State of Georgia and that if any portion thereof is held invalid, it is agreed that the balance shall,
notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto,
and the terms of this release are contractual and not a mere recital.
I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS
RELEASE AS MY OWN FREE ACT. This is a legally binging agreement which I have read and understand.
______________________________
Parent/ Guardian Signature
_________
Date
__________________________________________
Day time Phone #
Cell Phone#
Page 14 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
Page 15 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
__________
Date
Page 16 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
Young Men should wear nice jeans or slacks and a comfortable shirt with a collar for the services. (While not prohibited, T-shirts are not
preferred for the services. Button up Shirts and Ties are not required, but are always appropriate.) Jeans should be worn for all day activities
with comfortable T-shirts and sneakers.
****Please maintain decency in the dorm public areas as well.
ALL
T-shirts and hats/caps worn at camp should not have questionable words, advertising (i.e. Country or Rock entertainers, alcohol, tobacco
products, etc), or inappropriate pictures. Ideal T-shirts would include those promoting your home church or school. Boys will not be
permitted to wear caps in the dining hall or tabernacle and the cap should be worn naturally and not in a fashion favoring the world.
***Jewelry is best left at Home!
SWIMMING ATTIRE If the opportunity presents itself for the group to enjoy a time of swimming or water activities you will be notified of
the expected dress. Here are some general guidelines if we separate the group male/female such as pool swimming and privacy is
guaranteed swim suits are permitted (one piece for females, no bikinis for either gender). If the group is not separated and not exclusively
private such as the ocean, tubing or water games FULL CLOTHING will be required. Swim suits may be worn under the clothing -- Dark Shirts
will be required for male and female participants. Females should wear Dark Culottes or pin a dark, full skirt males should wear dark
pants or jeans. As a reminder, when the camp uses a public pool, we cannot guarantee the gender of life guards OR prevent pool personnel of
the opposite gender from entering the pool area. If this is a concern, please wear full clothing in the pool.
Discipline: All camp activities are designed to be a fun experience for all participants. Activities are also designed to allow you an
opportunity to draw closer to the Lord and hear HIS voice not affected by normal hindrances. Please observe the following general rules of
conduct:
NO CIGARETTES, SNUFF or OTHER TOBACCO PRODUCTS are permitted (youth and adults). No Drugs, Firearms, Fireworks, Radios, Alcoholic
beverages, Rock Music, Country Music, CD Players, Tape Players, Record Players, TVs, Video Games (and machines), Computers, Palm
Devices, knives, guns, or other weapons are permitted. No magazines or Books please. (Exception: a personal devotional book such as
Baptist Bread or similar that the participant generally uses day by day would be acceptable.) Cell phones are permitted, but MUST be
surrendered to your Counselor who will control phone usage. Your days will be very full.
THE CAMP PHONE WILL BE OFF LIMITS TO CAMPERS. IN THE EVENT OF AN EMERGENCY, A CAMP COUNSELOR WILL CONTACT THE PARENTS.
THANK YOU.
CAMP ACCOMODATIONS: Room and Bed assignments are made at the discretion of the camp staff. CAMPERS are NOT PERMITTED to change
rooms without the permission of CAMP STAFF. Attending Chaperones are NOT allowed to make rooming changes for their groups without the
permission of CAMP STAFF. The camp conducts full bed counts nightly for the safety of our campers and staff and your FULL PARTICIPATION is
required. FAILURE TO FOLLOW THE DIRECTIVES OF CAMP STAFF REGARDING ROOMING ASSIGNMENTS IS GROUNDS FOR IMMEDIATE
DISMISSAL FROM CAMP. In addition lights out times are assigned daily. At this time campers are to be in their respective rooms, quite,
with lights extinguished. If a camper is found outside of his/her room after lights out they can be dismissed from camp.
Rules will be explained during orientation. Curfews and other key times will be announced throughout the event. Participants are expected to
follow the directives of the Director, Counselors, and Chaperones at all times. NO ONE is permitted to leave the property or assigned areas.
Good Sportsmanship is always a Christian grace to be exhibited by all. You should come ready to participate both in the letter of the
activities and the spirit of the activity as well. THIS WILL TRULY BE WHAT YOU MAKE OF IT!
PATICIPANTS WILL ATTEND ALL SERVICES AND ACTIVITIES. ADULTS ARE EXPECTED TO ATTEND ALL SERVICES.
Those refusing to participate or follow the rules established by the Camp Directors, including the dress code, may be dismissed.
Parents/Guardians will be contacted to pick up the dismissed participant.
Page 17 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
June 27
PREP DAY
June 28
June 29
June 30
July 1
July 2
July 3
July 4
JUNIOR
JUNIOR
JUNIOR
Pigeon Forge
MK/Workers
Pigeon Forge
MK/Workers
Pigeon Forge
PREP DAY
July 5
July 6
July 7
July 8
July 9
July 10
July 11
TEEN
TEEN
TEEN
TEEN
TEEN
LEAVE
AFTER
CLEANUP
Once your application is received and processed, we will send you a confirmation
package.
PTM
PO BOX 5115
GAINESVILLE, GA 30504
Page 18 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
Pastors Recommendation
Your pastors recommendation is required to be a camp volunteer.
________________________________________________
Pastors Signature
Print Name: ______________________________________________
Please include any comments about this volunteer applicant that you think we should
be aware of:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Page 19 of 21
VOLUNTEER APPLICATION
(please complete all areas of the application as thoroughly as possible)
NOTE:
If you are 18 or over you must complete the
Georgia Bureau of Investigation
Georgia Crime Information Center
Consent Form
for the
LUMPKIN COUNTY SHEIRIEFS DEPT
SEE THE NEXT PAGE
Complete your personal information
Have the form notarized
RETURN with YOUR APPLICATION
We maintain your report for three years, so if you
have completed this form in the last three years, you
do not need to repeat. Call with any questions
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