2018 Girls Service Crew Application
Camp Hickory Hill
2970 Kohler Rd
Varysburg, NY 14167

Please use this form to apply to be on Service Crew.
Service Crew Requirements:
Love for the Lord, completion of 8th Grade (Ages 14 & up, some completing 7th grade may be accepted).
Attend 1 week of camp as a camper.

Last Name: *
Your answer
First Name: *
Your answer
Camp Dates
Service Crew members are required to be a camper for one week. Please indicate which week you will be a camper and which week you would like to be on Service Crew. MAKE SURE TO OFFICIALLY REGISTER TO BE A CAMPER by completing online registration for the program you wish to attend.
Aug. 5-10 *
Aug. 12-17 *
Personal Information
Primary Phone *
Your answer
Alternate Phone
Your answer
Email: *
Please check this email for communication from us.
Your answer
Street: *
Your answer
City: *
Your answer
State: *
Your answer
Zip/Postal Code: *
Your answer
Birth date mm/dd/yy *
Your answer
Age at Camp: *
Your answer
Parents's Names: *
Your answer
Home Church: *
Your answer
Current Year in School: *
Your answer
Shirt Size
Shirt Size: *
Please indicate your t-shirt size:
Please Read: by submitting your application you agree to the following:
In applying to serve on the staff of Camp Hickory Hill, I am seeking a great responsibility as well as a great opportunity. I realize that while at camp I am subject to camp regulations and will abide by them. My motivation for serving is to please Jesus Christ. I believe that my body is the temple of the Holy Spirit, and will heed God's warning against defilement of my body. I have read and agree with Gal. 5:19-26 & Eph. 4:25-5:2 and will try, with the help of the Holy Spirit, to live by these scriptures. By submitting this application, I authorize Camp Hickory Hill or its representatives to make any and all appropriate inquiries regarding my background, and I release the camp and its representatives from any liability, which may result from such actions. By submitting this application I declare that the information included in this profile is correct to the best of my knowledge.
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