Camp Blue Haven Application
Volunteer

Print, complete and mail to: Camp Blue Haven, 1020 Austin Ave, Brownwood, TX, 76801
OR  email to: jan@campbluehaven.com (highlight lines, fill in information, save as PDF)

Please Check one: ____ Pot Washer (age 16 and older)  If camping, which session? ____________
		      ____ Kitchen Help (adults only)  
		      ____ Grounds Assist (adults only)    
**Adults, please note: This position does not allow under camper age children to attend unless 
spouse is teaching.  Child care is provided only during bible class time.

Mark the session you desire to attend. If you are interested in more than one session, number your preferences in order of interest.
	(   ) 1st June 4-10              	 (   ) 2nd June 11-23            	(   ) 3rd June 25-July 1	
	(   ) 4th July 2-14 		 (   ) 5th July 16-22      	(   ) 6th July 23-Aug 4

*Application MUST include a current photo.

Name ___________________________________________________________________________
Date of Birth ________________    Gender: M___ F___     Cell Phone _______________________
E-mail Address ___________________________________________________________________
Address _________________________________________________________________________
		Street					City		State		Zip

Have you been baptized into Christ?_______________ 
How many years have you been a Christian?  __________
Are you faithfully attending a Church of Christ? __________ 

Please provide information on the church you attend @ HOME:
Name & town _____________________________________________________________________
Preacher's Name __________________________________________Phone____________________
Elder’s Name ____________________________________________ Phone ___________________
Elder’s Name ____________________________________________ Phone ___________________

TEENS & COLLEGE AGE:
Parent name:_______________________________________  Parent Cell Phone ________________
Permanent Address___________________________________________________________________
			Street or Box			City		State	Zip		Phone
Name of University/College attending  __________________________________________________
Name of Congregation attending while in College & Town___________________________________
Minister who knows you there_______________________________ Phone ____________________
													
ADULTS:  From whom did you hear about Camp Blue Haven?______________________________ 
Occupation ________________________________ Present Employer_________________________  
Contact Person /Phone ______________________________________________________________

Marital Status________________   Spouse Name _________________________________________
	Will your spouse be attending camp with you? (   ) Yes     (   ) No
	Has he/she filled out an application?	              (   ) Yes     (   ) No
Children Name(s)
	•	A camp application must be submitted and registration fees sent for each child that will be a camper.  Do not wait until you arrive at camp to do this.  Please be prompt.
	•	This position does not allow under camper age children to attend unless spouse is teaching.  Child care is provided only during bible class time.
	•	List name & age at camp time of your children who will accompany you to camp.  
As Campers (List Fall Grade)				Below Camper Age (List Age at camp time)
___________________________________		_________________________________
___________________________________		_________________________________
___________________________________		_________________________________

Housing is limited.  If you are married and your spouse is not able to attend, would you be willing to come alone and share a room with other volunteers of the same gender? __________

REFERENCES:   Do not include relatives or someone you have already included on this form.
1. Name ________________________________________________ Phone (      )_______________
Address / Email ___________________________________________________________________
________________________________________________________________________________
Street or Box # 					City 			State 		Zip

2. Name ________________________________________________ Phone (      )_______________
Address / Email ___________________________________________________________________
________________________________________________________________________________
Street or Box # 					City 			State 		Zip

3. Name ________________________________________________ Phone (      )_______________
Address / Email ___________________________________________________________________
________________________________________________________________________________
Street or Box # 					City 			State 		Zip
		
We will be notifying all applicants of hiring/declining a position sometime in the middle of March, around Spring Break.
											
If hired, you will be expected to obey all camp rules and you will be held to a higher standard of behavior as you will be a visible example of Christian service for our staff and campers.  We will encourage you to attend all camp activities that you can as it is encouraging to both staff and campers.

I agree to follow all the rules of  Camp Blue Haven in conduct and dress code.

I understand that I am to be available at anytime during the session to assist the staff and campers as needed including evenings, half and all day hike days and the middle Sunday of two-week sessions. I will be flexible each day so as to be available to assist when needed.

I concur by signing below, that while on Blue Haven Youth Camp, Inc. property and/or participating in Blue Haven Youth Camp, Inc. activities, I have received, reviewed, and agree to adhere to:
Code of Conduct https://campbluehaven.com/camprules/
Statement of Faith https://signup.campbluehaven.com/SOF/SOF.pdf 
I hereby certify that the information and responses contained in this application are being submitted with honesty and clear conscience.  I also understand that this application does not constitute a contract for employment, and that it will be filed in the Camp Blue Haven office and kept strictly confidential.

___________________________________________________    ____________________________
SIGNATURE								DATE