If you marked "other" in the previous section, how would you like to serve in camp?
Your answer
T shirt size *
Medical Conditions *
Are you currently under a doctor's care?
If so, for what?
Your answer
Doctor's Name, City and State:
Your answer
Do you have health insurance? *
Name of Insurance Company *
Your answer
Will you be taking medication at the time of camp? *
List all medications
If yes, please list all medications
Your answer
Allergies to food or medication? *
Please list all known allergies (if none, type "None")
Your answer
Do you have any physical disabilities that would keep you from active sports participation? *
If yes, please list them; if none, type "None":
Your answer
Emergency Contact *
Please give name, relationship, and phone number of individual(s) to contact in the event of an emergency.
Your answer
We consider ALL Camp Leader and volunteer positions at camp to be a ministry because each leader has an impact on the children and teens at camp in some way. Why do you want to serve at TCBA's Summer Camp? *
Your answer
Give a brief account of your Christian experience (i.e., why you accepted Christ as your Savior, what that means to you, how you live and follow Christ, etc.): *
Your answer
Applicant agreed to consent statement *
Applicant's pastor recommendation *
Submit
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