We thank you for having a heart to serve at CYC! 1Personal Information2Preferences and Skills3References4Questionnaire5Affirmation / Agreement / Liability 6 Volunteer/Staff Name* First Last Parent/Guardian NameIf under the age of 18. First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Home Phone*Work Phone*Gender* Male Female Marital Status* Single Married Birth Date* MM slash DD slash YYYY Shirt Size* Email* Church Attending Have you ever served at CYC before?* Yes No Year* What capacity?*Have you ever been convicted of a misdemeanor or a felony?* Yes No Emergency Contact Name* First Last Emergency Contact Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact Cell Phone*Emergency Contact Home Phone* Please check the weeks of camp you would like to work/volunteer for:* Encounter Camp Caleb (Senior Adults) Camp Friendship (Special Needs) Elementary Week (Grades K-5) Middle School Week (Grades 6-8) High School Week (Grades 9-12) Please mark the staff positions in which you are interested:* Director Director's Assistant Program/Activities Lead Cook Cook Assistant Wrangler Lifeguard Nurse/Medical Music/Worship Speaker/Teacher None Please mark the volunteer positions in which you are interested:* Lead Counselor Assistant Counselor Program/Activities Assistant Kitchen Staff Photography Other None Other position:* Why are you interested in working/serving at CYC?*Choose any areas in which you are currently certified: Food Handlers License First Aid Lifeguard Registered Nurse CPR Commercial Vehicle License Other Other Certifications/Skills* List any special skills that would contribute to the ministry of CYC.(sports/music/drama/hobbies/outdoor skills/horses/etc) Pastor or Church LeaderName* First Last Church Name* Email* Phone*EmployerName* First Last Email* Phone*Personal ReferenceName* First Last Email* Phone* My Personal WalkGive a summary of your Christian experience, including your conversion, your present devotional practice, and your current spiritual growth.*SalvationHow would you lead a student to Christ?*MinistryWhat Christian ministry have you been involved in this past year?* Consent* I have read and agree to the COVID Action Plan. To abide by our states COVID guidelines, we have put together this action plan. If the guidelines change prior to opening day of camp, we will modify our guidelines and communicate these updates to each parent/camper. REGISTRATION: 1. Registration will start at 4:00pm on Sunday. All parents/campers will be notified the week before camp if there are any changes to registration. 2. Everyone is required to wear a mask throughout the registration and moving in process. 3. One parent/guardian will be allowed in the buildings to check in/move in their camper(s) on opening day. 4. Once all campers have moved into the dorms and parents have left the property, masks are no longer required to be worn. 5. Campers/parents/guardians/staff/volunteers must pass the following initial screening process at registration: a. Temperature check: (100.4° F degrees or above is considered febrile) b. If a camper does not pass the initial screening process, they will be retested shortly thereafter. If the fever persists, campers will be asked to leave camp until their fever has abated without medication. Depending on circumstances, the camper may have to be fever-free for 72 hours until they can return to camp. Please do not give your child any medication that could mask a fever on opening day. 6. Pre-COVID screening: Short questionnaire stating that camper/parent/guardian/staff/volunteer has not had any COVID symptoms or been exposed to anyone who has tested positive for COVID in the last 2 weeks. This must be completed, signed, and turned in before registration is completed and a camper can enter the dorms. CLOSING CEREMONY & PICK UP: 1. There will be a closing ceremony at 10am on Friday, parents/guardians are invited to join. 2. After the closing ceremony, parents/guardians will check out their camper, collect remaining medications, and any refund of canteen money. Once that is complete the camper is free to pick up their belongings and leave camp. 3. Due to camp being deep cleaned and sanitized, all campers must be off campus by 11:30am and all staff/volunteers must be off campus by 12:00pm. 4. Due to the current guidelines, we will not allow day campers this year. 5. If a camper leaves early for any reason, they will not be allowed to return. DAILY COVID SCREENINGS: 1. We will do daily COVID screenings. 2. Guidelines for quarantine/child sent home a. If a camper has significant or worsening symptoms per the recommendation of our Camp Director and Camp Nurse, the camper will be moved to a cabin designated for quarantine and will need to be picked up by a parent/guardian within 12 hours of being notified. b. Symptoms include: Fever (above 100.4° F), cough, shortness of breath OR difficulty breathing, sore throat, muscle pain, chills, fever, or loss of taste or smell. CLEANING & HYGIENE: 1. Every cabin will be sanitized daily. 2. Every bathroom/shower will be sanitized daily. 3. Common areas will be sanitized daily. 4. Campers will be required to sanitize their hands before eating meals and after using the restroom. Each cabin and activity area has hand sanitizing stations. Campers will be asked to use hand sanitizer prior to each activity and before entering the cabin area. 5. Masks will be provided, but not required. SERVICES & CLASSES: 1. When campers are gathered together for Bible Classes/Services, seats with spacing will be maintained. 2. For services, the altar will be open for worship and altar time for each service. ACTIVITIES & GAMES: Activities and games will be offered that allow for social distancing. MEALS: 1. Campers will be required to sanitize their hands before and after eating meals. 2. All food will be carefully prepared using masks & gloves and will be served in covered to-go plates and prepackaged cutlery. 3. Campers will be served in the meal line by staff wearing masks and gloves. 4. Dining Hall tables will be sanitized after each use. 5. Depending on camper numbers, staggered meal times may be put in place to ensure the number of campers are able to practice safe social distancing during meal times. VISITORS: 1. We will operate within a “camp bubble” this camp season, this strictly limits visitors on camp property. 2. Visitors will not be allowed on camp property at any time during the summer. This includes parents, friends, pastors, or anyone who is not approved. Essential visitors, such as food delivery, plumbers, electricians, etc. will be required to wear masks when on camp property and maintain social distancing standards. 3. If for any reason a visitor needs to come on campus, he/she must be approved by the Camp Director before being allowed on camp property and will go through the pre-Covid screening. CYC COVID Liability Waiver* I agree to the CYC COVID Liability Waiver. CYC staff and volunteers are taking every precaution to prevent the spread of COVID-19. However, I realize that COVID-19 is reported to be extremely contagious. I understand that people reportedly can be infected and show no symptoms and therefore unknowingly spread the disease. Evidence has shown that COVID-19 can cause serious potentially life-threatening illness and even death. ASSUMPTION OF RISK: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my child(ren) in order for my child to attend Crusader Youth Camp. These services are of such value to me and/or my child(ren) that I accept the risk of being exposed to, contracting, and/or spreading COVID-19. WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against Crusader Youth Camp and its staff, volunteers, board members and other representatives in connection with exposure, infection and/or spread of COVID-19. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease, property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages whether known or unknown, foreseen or unforeseen. I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE. I understand that this is an application for Staff/Volunteer service. I understand that I will be required to abide by all camp policies, standards, and regulations. I further understand that when my service is completed, I must return all of CYC’s property in my custody.I hereby authorize CYC to contact employers and any references listed herein to verify all information provided and to obtain any and all information related to my character and past work performance. I further hereby release all references from any liability for information provided in good faith.I hereby affirm that I have read the CYC Camp Statement of Faith. I hereby agree not to promote personal beliefs and doctrines that may differ from this statement, nor to exhibit conduct which is contrary to it.I hereby affirm that I have read the CYC Camp Staff/Volunteer Policy.I understand that CYC is a tobacco free, alcohol free, and drug free environment.I affirm that I have neither been convicted or, nor am I the subject of pending charges for any offense involving actual or attempted child abuse or sexual molestation in any jurisdiction. A criminal records release must be completed by all staff and volunteers participating in CYC sponsored programs. This information will be kept confidential, on file at the camp office.Current county of residence:* Previous states and counties of residence (last 10 years):*I hereby give CYC permission to conduct a criminal records search in the counties of residence listed above. I understand that this information is being gathered to ensure the safety and well-being of campers and staff at CYC.The applicant has permission to engage in all camp activities, both on-campus and off-campus. I have familiarized myself with camp program and events and understand that all activities are completely voluntary. I recognize the inherent risk of injury from participation in camp activities including (but not limited to): swimming, archery, BB guns, challenge course, horse program activities. I understand that CYC has taken safety measures, including having certified staff in first aid, CPR, water safety, challenge course, and horse programs, as well as making every effort to aid the safety of all camp participants. However, I also recognize that CYC cannot ensure or guarantee that the participants, equipment, grounds and/or activities will be free of accidents or injuries. I am aware and have instructed my child (if applicant is under the age of 18) about the importance of knowing and abiding by camp rules and regulations. I voluntarily waive any claim against CYC, its staff members, and Board of Directors, against all liability, claims, damages, attorney fees, or expenses arising out of or in connection with camp activities.I hereby give permission for images of myself/my child, captured during regular and special camping activities through video, photo, and digital camera, to be used solely for the purposes of CYC/PFWB promotional material and publications, and waive any rights of compensation or ownership thereto. I also understand that by providing my email address and cell phone number I will be included in text and email lists for CYC marketing purposes. We will never provide your contact information to any other organization for marketing purposes.I hereby affirm and acknowledge, by signing (electronic signature) below, that all of the information provided and all of my answers to the questions on this application are true and complete, and that any misrepresentation or omission may be grounds for rejection or, if later “employed,” dismissal.Applicant Signature (if over age 18):*Parent Signature (if under age 18):
