Op Camp South Plains Session  Volunteer
We are excited that you are interested in volunteering for South Plains Op Camp for 2025. Session 1 is headed up by Crosbyton and Shallowater. If you would like to sign up to help at both op camps you must register for both camps separately.

Remember cost all depends on if a church is providing a scholarship for any or all of your fees for each session.
Session 1 Cost: $175 June 26-June 30 at South Plains College in Levelland

We are super excited to have you join us in serving us this year. This camp holds a special place in many peoples heart and so we are excited that you are wanting to partner with us this year at Op Camp. Please fill out this form in its entirety!

Director for Session 1
Matt James
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Name of Potential Staff Member (First and Last Name) *
Parent(s) or Guardian(s) (if you are an adult this does not apply) *
Group you are coming with *
Desired Position at Camp: Please remember we might not be able to put you exactly where you request to be. However, we will try our hardest.
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Address  *
City *
State *
Zip Code *
Email *
Home Phone *
Cell phone *
Alternative Phone Number *
Gender
Date of Birth MM/DD/YYYY *
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DD
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Current Grade Level (2024-2025 school year) *
T Shirt Size *
Emergency Contact Information: Name and Relation *
Emergency Contact Information: Phone Number
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Family Physician *
Phone Number for Physician *
Personal Insurance Information: Insurance Carrier, Policy, Group, and Phone Number *
Allergic to Medications (please list all) *
List all medical conditions, allergies, operations, procedures, or special health needs. List age and year operations or procedures
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May we contact your physician concerning your medical condition if necessary?
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Date of Last Tetanus Immunization *
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DD
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YYYY

Camp Commitment: I understand that I am responsible for my own actions. I will behave in a manner becoming to the purpose of this camp. If I do not cooperate with the camp staff, I expect to be disciplined appropriately, including being sent home if deemed necessary by the camp director.  (Staff Signature)

Photo Release: I hereby grant permission to South Plains College, Employees and Volunteers to use photos of the above named participant. I understand these photos were taken during activities at the camp and may be used for but not limited to: Foundation and Grant applications; publicity purposes; advertising materials; or for use on the camp's website. Names are never published with pictures. (By entering your name you are agreeing to this release.)
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Release: I hereby release Opportunity Camp, and any individual or group associated with Opportunity Camp, from liability for any sickness or injury incurred at camp or while being transported to and from camp. I understand that every possible precaution will be taken to ensure good health and to prevent accidents; however, in the case of sickness or accident, the director or attending medical personnel have authority to obtain and provide the best possible medical care, including surgery. (By entering your name you are agreeing to this release.)
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Disclaimer and Acknowledgment Camp Activities at South Plains College may include but are not limited to: swimming, sports, water slide, group games, and any or all other activities. I do hereby assume all risk of the above and any other ordinary risk incidental to the camp setting and will hold South Plains College, employees and agents harmless from any and all liability. I also understand that liability of insurance is first, the responsibility of the group the participant/camper came with, and or the custodian parent/guardian of the participant/camper. South Plains College does however; hold our own state required liability insurance coverage. I voluntarily agree to assume all of the foregoing risk and accept sole responsibility for myself or my camper(s) that may be exposed to or infected by any communicable disease(s) by attending the Camp and that such exposure or infection may result in personal injury, illness, permanent disability, and or death. I hereby grant permission to South Plains College to use photos of the registered camper/participant, taken during activities at camp, for publicity purposes, in advertising materials, social media, or on the camp's web site. (Guardian Signature and Date)

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I attest that I am the Parent/Guardian of the above named child, and that I authorize officials of West Texas Op Camp to contact directly any persons named on this form, also authorizing medical personnel to render such treatment in the event a Parent or other persons named on this form cannot be reached. Opportunity Camp officials are authorized to take whatever action is considered necessary, in their best judgment, for health and well being of my child, including transport to the nearest Hospital Emergency Room. Please sign your own name if you are an adult and the responsible party for yourself (By entering your name below you are agreeing to this statement and all contents within)
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