CHURCH SPONSOR REGISTRATION

CHURCH SPONSOR REGISTRATION
I will be attending...*

Combo 1 - June 19-23, 2023Combo 2 - June 26-30, 2023Combo 3 - July 10-14, 2023Combo 4 - July 17-21, 2023Combo 5 - July 24-28, 2023
I want to be a...*

Junior Counselor - 4th-6th GradeTeen Counselor - 7th-12th GradeTeen or Junior CounselorSponsor Only

Personal Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Gender*

MaleFemale
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Address

Address Line 2

CityState / Province

Postal / Zip Code
Marital Status*

SingleMarriedDivorcedWidowedRemarried
Name of Spouse
Employer*
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Church Information
Home Church
Pastor

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church I'm Coming With
(if different than above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact
Name*

First NameLast Name
Relationship to You
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Additional Information
Please give a brief account of your salvation testimony*
Have you ever been convicted of any crime, misdemeanor, or felony related to abuse, mistreatment or molestation of children or adults?*

YesNo
If yes, please explain

Medical History
List any communicable diseases: (such as hepatitis, measles, mumps, meningitis, diptheria, rubella, salmonella, tubnerculosis, giardia, or shigella)*
List any serious illnesses: (such as Diabetes, Asthma, Mononucleosis, Epstein-Barr Virus, Leukemia, Rheumatoid Arthritis, Cyto-Megalo_Virus, other)*
List any surgical operations:*
List any known drug reactions and/or allergies:*
List all medications currently being taken:*
Specify any dietary restrictions:*
Signature:*

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Volunteer Agreement
Be it known by all that this contract is entered into by two parties, myself, seeking camp ministry work, and by Treasure Mountain Bible Camp, a Colorado non-profit corporation. By my signature, I am committing my time and service to the Lord during my week at Treasure Mountain Bible Camp. I understand that my employment at Treasure Mountain Bible Camp is at the discretion & direction of the Camp Director and that I am coming on a volunteer basis.

Upon signing this agreement, I am agreeing to abide by all rules and regulations established by the ministry of Treasure Mountain Bible Camp. Failure to do so can result in my dismissal or other appropriate disciplinary action, at the discretion of the leadership.

Volunteer Expectations:
1. A godly, mature, and moral attitude and conduct at all times.
2. A spirit of service and devotion to serving the Lord in the camp ministry.
3. A team player with a cooperative, Christian spirit.
4. To be versatile, flexible, and willing to work where needed whether that is in operations or program duties.
5. Treasure Mountain Bible Camp requires ALL staff members and speakers (who preach, teach, and memorize the Word of God) to use the King James Bible.
The following will not be tolerated:
1. Infractions of biblical moral standards.
2. Not reporting for duty as scheduled or ready to follow the direction of the Camp Director or other superiors.
3. Not performing assigned duties in a timely and cooperative fashion.
4. Contention, displaying of a bad attitude or causing discord.
What you, can expect from the ministry of Treasure Mountain Bible Camp:
1. A great place to minister!
2. Experience and practical teaching in a vital local church-based ministry.
3. I realize that by signing this contract I, "the ministry staff person," am promising to help in "the ministry of Treasure Mountain Bible Camp" as unto the Lord.
Signature*

Clear

Required Paperwork
Background Check & TRAILS Form (must be completed every 5 years)

If you are a returning staff member, please contact the camp office to make sure your Background Check/TRAILS paperwork is still valid.

If you are not a returning staff member, please follow these instructions to submit the Background Check and TRAILS forms. Please be sure to read the document in its entirety as some of the rules are very specific.

Background Check Instructions TRAILS Instructions

Character References (these do NOT need to be resubmitted each year)

Please have this Character Reference filled out by 3 separate people - your pastor and two other adults that can attest to your character and abilities. Upon submission, these forms will be sent directly to our camp office.

Camp Physical

There is a physical form available here, or you can submit any report from a physical within the last two years. Please make sure it shows the date and has a health authority’s signature.
I understand the above paperwork required by Colorado State Law*

YesNo

Perjury Statement
Colorado Law states: "Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and upon conviction thereof, shall be punished accordingly.”

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment/volunteer work as may be necessary in arriving at a staff paid/unpaid employment decision. In the event of acceptance, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Treasure Mountain Bible Camp.
Signature:*

Clear
Payment & Submission
This registration form is complete when submitted with a $50.00 registration fee. (Register on or before April 15th to receive $15 off your registration fee!) Please pay the Registration Fee below OR, if desired, pay the Full Camp Fee.

If you prefer to pay with cash or check, please send your payment to the camp office: 1700 Marble Quarry Rd. Marble, CO 81623

HOWEVER, your registration is not complete until you have submitted your camp physical, background check, trails form, and character references. Thank you!

My Products

Registration Fee Only(the remaining balance will be due at camp)

$50.00

Full Camp Fee(includes the $50 registration fee)

$265.00

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Total

$0.00

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CHURCH SPONSOR REGISTRATION

Personal Information

Church Information

Education

Emergency Contact

Additional Information

Medical History

Volunteer Agreement

Required Paperwork

Perjury Statement

Payment & Submission

Credit Card