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Staff Application (age 16+)

Jr. Staff are ages 16-20. Jr. Staff will be assisting wherever is needed. Some jobs may include: kitchen staff, music, sports, snack bar.


Camp Counselors are ages 21+. Counselors will be responsible for a group of students the entire week inside and outside the dorms.


Dress code can be found on FAQ page.


PLEASE PRINT PASTOR SIGNATURE PAGE AND BRING TO CAMP WITH YOU. YOU MUST HAVE THIS TO COME TO CAMP.

https://docs.google.com/document/d/1H9XxCQVpuR8xhWL8eXRxwJdAqZn4dBP7dRW30PlYAJI/edit?usp=sharing

Do you have the holy ghost?
What age range do you fall under in June 2026?
Jr. Staff (16-20)
Counselor (21+)
Gender
Male
Female
Birthday
Month
Day
Year

Please make sure you print the pastor signature page and bring to camp with you.

Are you currently under care of a doctor:

The Safety and well being of our campers are of the upmost importance. For that reason, all potential staff members are required to complete the following questionnaire in order to be

considered for staff placement.

Have you ever been convicted of any criminal or misdemeanor?
Yes
No
Is there now, or has there ever been, any accusations against you concerning a minor?
Yes
No
Staff Positions you would like to be considered for:

PLEASE NOTE THIS APPLICATION IS NOT A GUARANTEE OF POSITION AT THE SAID JR. YOUTH CAMP

I, the undersigned volunteer, as being a staff member for the Junior Youth Camp, and my family members present acknowledge, and agree and understand that:


Voluntarily and of my own free will, I elect to participate as a member of the staff of the Junior Camp, and all the activities involved with the camp.


I, understand that there are certain risks, and hazards involved in participating in Junior Camp that may result in injury or even death to me or my family members. Including, but not limited to, those hazards

associated with the weather condition, playing condition, equipment and other participants.


I understand that by participating in the activities of Junior Youth Camp it may be dangerous to family members and me and to others and may result in a serious injury or even death.


I understand that in participating in all or in even some of the events of Junior Camp there can be and is some hazardous and some risky natures involved. Including, but not limited to , all the acts of the activities planned for the camp. All sporting events, the act of pitching, throwing, fielding and catching of the balls, the swinging of the bat, running, jumping, stretching, sliding, diving, and collisions, with

other players and with stationary objects, all of which can cause serious injury or even death to my

family or me.

Furthermore, I the undersigned player and staff member agree that upon consideration for the right to

play or be a member of the Junior Youth Camp Staff, which would also include all of those members of my family, and or those I will be signing for:


I voluntarily elect to assume all the risks of the injury incurred or suffered by my family or myself while participating as a staff member of the Junior Youth Camp, while involved in such activities of the Camp or being a spectator for the duration of this Camp.


I, release, discharge, and agree not to sue the Junior Youth Camp Committee, the Western District of the United Pentecostal Church International or any other staff member or entity connected with the

said organizations, for any claim, damage costs, cost or cause of action which I have or may in the future have as a result of any injuries or damages sustained or incurred by my family or myself from whatever cause including but not limited to the negligence, breach of contract or wrongful conduct of the parties hereby released.


I acknowledge that I have read and understood each and every one of the provisions in this waiver, and I fully agree to Abide by them.

Date
Month
Day
Year
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PLEASE PRINT PASTOR SIGNATURE PAGE AND BRING TO CAMP WITH YOU. YOU MUST HAVE THIS TO COME TO CAMP.

https://docs.google.com/document/d/1H9XxCQVpuR8xhWL8eXRxwJdAqZn4dBP7dRW30PlYAJI/edit?usp=sharing

Saturday check in time is 2 PM and check out on Wednesday at 10 AM.

Santa Cruz County Fairgrounds | 2601 E Lake Ave, Watsonville, CA 95076 | 661-364-8371

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