STAFF INFORMATION

How will you be serving this year?

Name

Where will you be staying for the duration of Camp West?

Other Accommodation:

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address

Gender

Male
Female

Date of Birth

HOW MANY YEARS OF CHURCH ATTENDANCE?

CHURCH ATTENDANCE FREQUENCY

I ACKNOWLEDGE that Junior Counselors must be 22 years old, and Senior Counselors must be 25 years old

PASTOR INFORMATION

PASTOR

PASTOR'S FIRST/LAST NAME (if not mentioned above)

CHURCH NAME

CITY OF CHURCH

PASTOR OR CHURCH PHONE

PASTOR'S EMAIL

I AFFIRM THE ABOVE INFORMATION TO BE TRUE, AND AS THE STATED INDIVIDUAL WILL ABIDE BY ALL CAMP REQUIREMENTS UPON APROVAL AS STAFF OF CAMP WEST

Signature

By signing below you are agreeing to the Camp Guidelines, you acknowledge that both yourself (as the authorized registrant) and the participant (staff or camper), which maybe the same person, agree that the camper will follow the CAMP WEST guidelines specified in the Camp West Guidelines Document found on the website. You also signify that you have been background checked, and it is on file with your home church.

I, the undersigned, agree to the terms above.

Almost done, where should we send the confirmation?

Name

I am representing an organization

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STAFF INFORMATION

PASTOR INFORMATION

TIME UNTIL EARLY REGISTRATION ENDS:

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TIME UNTIL CAMP WEST BEGINS:

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Almost done, where should we send the confirmation?