Campground Hills 2022 Camp Helper/Counselor Registration
Kids Camp: June 13-17
Teen Camp: June 20-25

You must be at least 16 years of age for Jr. Camp help, 19 years of age for Teen Camp. Must be a regular attendee of a local church.
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Email *
An option to print your registration is also available. Please click the link below and mail the completed form to: PO Box 10195, Cleveland, OH 44110.
Full Name *
Date of Birth *
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Social Security Number *
Gender *
Address *
Phone Number *
Home Church/Pastor *
Spiritual Status-How Long have you been saved? *
Have you ever been convicted of a crime? *
Have you ever been a helper before *
Camps you will be Attending *
Required
For Kids Camp JR Helpers- Are you under the age of 18? *
Areas you would like to help *
Required
Will you be interested in purchasing a camp t-shirt? *
A youth camp worker may be requested to do a particular assignment whether it is kitchen, dorm leader, ect. It is important to understand that our youth camp has a “team” approach. Each worker must be willing to accept daily assignments according to the youth camp needs. Remember, we are here for the kids of the camp. Our spiritual duty is to pray with them and for them whether it is in church or in your dorm or wherever the opportunity comes up-they are our first priority. If you are able to do these tasks, please select "I agree." If you select disagree, we will deny your help. *
Dress code Agreement - Women- Shorts (to the knee), pants, skirts (to the knee), no tank tops, no leggings. On the water day- must have a shirt and shorts covering undergarments. Men- shorts (to the knee), pants, no tank tops. By clicking "I agree," you are stating that you (or your child) will follow the camp dress code. If you select "disagree" we will deny your registration. *
Liability Agreement - By checking the "I agree" box below, you are in agreement that Church of God Mountain Assembly/Camgroundhills is not liable for any lost/stolen items. You are in understanding that there are certain dangers, hazards and risks (foreseen and unforeseen) inherent in attending and participating in the Campgroundhills, including, without limitation, risks related to use of equipment and  facilities, personal safety (including risks of minor, serious or mortal personal injury) and risks of property damage.  If you disagree to the stated above, we will deny your registration. *
By submitting this form you are agreeing that you have read and understand all of the information included with this form.  You are also stating that you are authorized to provide the above information/consent and that all the information provided is current and correct to the best of your knowledge.
A copy of your responses will be emailed to the address you provided.
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