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.

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.