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Youth Camp 2024
Worker Registration
Camp is right around the corner, July 29th - August 2nd, at Cornerstone Conference Center. To be a worker, you must be 18+ and have completed high school. All camp staff will be required to have a background check prior to camp; therefore, in this packet, your social security number will be requested. A background check will be completed on all workers. If you prefer not to disclose your social security number, you must provide a background check if we do not already have one on file. This is a safety measure we are taking to ensure the safety of our campers. All staff will be required to attend a staff orientation prior to the start of camp. Cornerstone Conference Center, where camp will take place, is set in a natural environment. If you are allergic to the sun or are severely allergic to dust or grass, you may not be able to fully participate in camp activities. You may want to consult your physician for advice. We have a dress code that all participants, campers, and workers, must abide by. Women/girls/teens are to wear shirts and skirts/dresses below the knee and MUST be modest in nature (i.e. length and size), at all times while outside their cabin/dormitory. No sleeveless dresses/shirts or tank tops. Men/boys/teens MUST wear pants and a shirt at all times while outside their cabin/dormitory. We are anticipating a great year! Feel free to call our church office if you have any questions about the camp.
First Name
Last Name
Email
Phone Number
Date of birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
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2025
Address
Apartment, suite, etc.
City
State
Postal / Zip Code
Social Security Number
Home Church
Pastor's Name
Spiritual Status
Saved
Sanctified
Holy Ghost Baptism
T-Shirt Type
Short Sleeve
Long Sleeve
T-Shirt Size
Youth X-Small
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
Medical History
Do you have any health limitations that would keep you from being able to work at camp?
Yes
No
Do you have health insurance?
Yes
No
Insurance Company/Policy Number/Policy Holder Name
West Asheboro Church of God Permission Waiver
It is my understanding that participating in transportation, programs, recreational and other activities provided by West Asheboro Church of God is a privilege. Prior to my participation or my child(ren)'s participation in such transportation and activities, I recognize there are certain risks associated with the transportation and activities, including but no limited to physical injury due to activity-related accidents, physical injury due to the transportation-related accidents, illness, or even death. In addition, i recognize and acknowledge that there may be other risks inherent in these activities of which I may not be presently aware and hereby do voluntarily assume any such risks. By signing this Permission/Waiver form, I expressly warrant that the child name above or I (if I am a participant) am capable of withstanding both the physical and mental demands of the transportation and activities. I also expressly assume all risks concerning my child or my participation in the activities, whether such risks are known or unknown to me at this time. I further release West Asheboro Church of God from any claim that my child or my participation in the transportation or activities. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover all claims that members of the child's or my family or estate, heirs, representatives, or assigned may have against West Asheboro Church of God. I also further agree to indemnify and hold harmless West Asheboro Church of God from any and all claims arising from my child's or my participation in any of the aforementioned activities and programs, or as a result of injury or illness of my child or myself during such transportation and activities.
Permission Signature
Worker Agreement
Do you agree to work where needed?
Yes
No
Our goal is that every child and staff members at West Asheboro Church of God Youth Camp can enjoy a fun, safe, Christ-like environment. For the benefit of other staff, the campers, and myself, I agree to conduct myself in the following respectful manner:
I will demonstrate respect for staff, campers, and myself at all times.
I will respect the rules of camp and use the chain of command appropriately.
I will not intentionally injure or endanger myself or any campers or staff members physically or emotionally.
I will abide by the dress code that has been given by the Camp Administration.
I will respect the environment, camp, camp equipment, property, and the personal belongings of others. If I do not, I will be liable for damages caused.
I will model a Godly life before the campers.
I will place the welfare and best interests of the campers above my own personal comfort.
I will demonstrate good common sense to avoid offenses and conflicts.
I will be a team player and make a commitment to put the overall success of camp before my preference or comfort.
I will refrain from verbally or physically teasing campers and will not allow other campers to verbally or physically tease one another.
I will fulfill all areas of responsibility within my job assignment.
I will be flexible, supportive, and cooperative with all other staff, enabling the staff to function as a team.
If you agree to the above statements please sign below.
Financial Information
Payment can be made via check or online. Our mailing address is PO Box 4307, Asheboro, NC 27204. Online payments can be submitted on our website or church app under GIVE. Cost is $150 per worker. After June 28th, the cost will increase to $180.
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