*Preferred T-shirt Size
Please list any specific dietary requirements that you would like us to communicate to the Harvey Cedars food service staff. (This does not guarantee that all requests can be accommodated. If and when possible, you should plan to bring supplemental food items along if they will be needed. Separate refrigeration is available and accessible in the dining hall for your use for this purpose.)
Information we need to consider (arriving late, not traveling with the group, planning to drive your own vehicle, able to drive a church vehicle, etc)
Required on File Information
*Have you ever been convicted of a crime (Other than a minor traffic violation)?
Please supply the names, positions, and email addresses or cell numbers of two qualified people who would recommend you for the role of camp counselor.
*I have read the following documents:
*I acknowledge that participation in summer camp 2022 at Harvey Cedars Bible Conference involves risk to the participant, and may result in various types of injury including but not limited to the following: sickness, exposure to infectious/ communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In consideration for the opportunity to participate in the activity described above (the “activity”), the participant acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by the sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to as the “activity sponsor”). Further, the participant releases and promises to indemnify, defend, and hold harmless the activity sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the activity sponsor, the participant, or otherwise. If a dispute over this agreement or any claim for damages arises, the participant agrees to resolve the matter through a mutually agreeable alternative dispute process. If the participant and the activity sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.
I also give permission to WSEFC to use photographs and/or video taken during the event for promotional purposes such as the web site, brochures, etc.
I, the undersigned, agree to all of the above statements and my full printed name below represents my electronic signature.