As a staff candidate, by my dated initials and signature below, I certify the statements and information provided in items 1 through 6 that appear below:

1. ACCEPTANCE OF CAMP CONDITIONS: I understand and agree to the condition of the event venue as described in the information provided at GCSURREYHILLS.ORG/CampSurrey. I agree to participate under these conditions, including Photo/Video Release, Camp Surrey Standards Agreement, schedule of activities, and material to be presented.

2. DISCLOSURE OF SPECIAL HEALTH CONDITIONS: The following is the list of my special health conditions and needs, which event staff needs to be aware of:

3. RELEASE OF LIABILITY REGARDING SPECIAL HEALTH CONDITIONS: I submit that the above mentioned special health conditions and instructions are needed for myself while at the event. I understand that, although event personnel will seek to help accommodate these special conditions, nonetheless, by attending the event with these special health conditions:

4. PERMISSION TO SECURE EMERGENCY SERVICES: I give permission to event staff to secure usual and customary medical and/or legal services for myself if needed in an emergency circumstance at the event. I understand that I will be responsible for the costs of such services if not covered by my insurance.

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

It is our desire to provide the absolute best experience and safe environment for the participants at Camp Surrey. Part of our process to ensure this desire is to select staff to serve at camp who exemplify great character and a heart to serve. In being a part of our volunteer staff team, it is imperative that our staff have characteristics of a servant, team-based, being able to work in fast-paced environments, and being willing to do a variety of tasks that may or may not be in any particular job description with a great attitude. It's this kind of mentality that promotes the culture at camp. In helping us to get to know you better, all volunteer staff applicant ages 18 and above must provide 2 references of individuals who know you personally, your character, and work ethic that Camp Surrey/Grace Communion Surrey Hills leadership may contact. References MUST NOT be related to you.

In addition to giving 2 personal references, ALL staff members ages 18 and over MUST have on file with Grace Communion Surrey Hills (GC Surrey Hills) a current and cleared background check that is initiated by GC Surrey Hills. Once you have completed the Camp Surrey Staff Registration application, a member of Camp Surrey/GC Surrey Hills will be in contact with you to initiate the background check. *All background checks are kept confidential and inaccessible by any person not part of the Pastoral Team.