The above information is true to the best of my knowledge. I understand, authorize and agree that, to the extent permitted by Illinois Law, Oil Belt Christian Service Camp may secure criminal history information about me. I am a committed Christian, and I will do my best to conduct myself in a manner as to cause no question to the name of Christ or to the ministry of Oil Belt Christian Service Camp. (by typing your name below and putting the date, you commit your signature to Oil Belt Christian Service Camp) *