ZAO Junior Leadership Program Application
We are so thankful and amazed by our Junior Leaders each year. We really couldn't do this without you!

Please fill out the following Application and Medical Consent Form if you will be entering Grades 8 - 10 for the 2019/20 school year and you are interested in applying to the ZAO Junior Leadership Program.

Please note that this is an Application and not a guarantee of becoming a junior leader this year.
We have limited spots available.

We highly encourage the students to complete this application, rather than parents.

Once completed, our Junior Leader Program Coordinator may be in touch with you for an interview.

One applicant per form please.
Email address *
Week *
Which week(s) of camp are you available to help out?
First Name *
Your answer
Last Name *
Your answer
Gender *
Birthdate *
Age *
At Camp
Your answer
Grade *
As of the 2019/20 School Year
Your answer
AHC # *
Alberta Health Care
Your answer
Address *
Street or PO Box #
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Please use all capital letters.
Your answer
Parent/Guardian #1 Name *
Your answer
Parent/Guardian #1 Phone Number *
Your answer
Parent email address #1 *
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Phone Number
Your answer
Parent email address #2 *
Your answer
Emergency Contact *
In case of an emergency and parents/guardians are not available, please contact... (Name and phone number)
Your answer
Do you have a church that you attend regularly? *
Home Church
If so, which one?
Your answer
Allergies: *
Any known allergies?
If YES, please list.
You will be contacted by a ZAO staff member for additional information.
Your answer
About You... *
Please list the reasons you would like to be a part of our Junior Leadership Program?
Your answer
Experience *
Please list any past leadership experience:
Your answer
Strengths *
Please tell us your strengths and how you think they would benefit ZAO.
Your answer
What would be your preferred area(s) to help with during your week at ZAO *
The following 10 areas are places where we need the assistance of junior leaders: Jr Group Leader, Skill track - Arts and Crafts, Skill track - Music, Skill track - Woodworking, Skill track - Hockey and sports, Skill track - Drama, Set up/clean up/maintenance, Kitchen help, Outdoor activities (bubble balls, waterslide, etc), Chapel. Please list your top 3 choices below. Please note that while your requests will be considered, tasks are assigned based on need and all junior leaders may be asked to assist with chapel and afternoon activities.
Your answer
Other: *
Anything else we should know about you?
Your answer
A ZAO T-shirt will be provided for all junior leaders. Please indicate your appropriate size.
Please indicate parent's name who is completing this section of the form.
Your answer
Facebook *
**ZAO staff and/or volunteers have permission to take pictures and/or videos of my child for ZAO Facebook.
Camp proejcts *
**Zao staff and/or volunteers have permission to take pictures and/or videos of my child for internal camp projects.
Consent *
I/We, the parents or guardians named above, authorize a Leduc Community Baptist Church and ZAO Discovery Camp senior leader or adult volunteer, to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above. I/We, named above, undertake and agree to indemnify and hold blameless Leduc Community Baptist Church, the staff, the pastors, the board of elders and the ZAO Discovery Camp volunteers and leaders, from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Leduc Community Baptist Church and ZAO Discovery Camp, as well as of any medical treatment authorized by the supervising individuals representing this church. This consent and authorization is effective only when participating in events at Leduc Community Baptist Church and surrounding areas. I have read the above, I understand and agree with the above and sign this waiver to cover my child’s participation in the activities included in the ZAO Discovery Camp. The child named above has permission to attend and participate in all activities of the ZAO Discovery Camp in July 2019 offered by the Leduc Community Baptist Church.
Camp Fees
There are no fees associated to being a Junior Leader. We are so thankful that you are willing to give of your time and energy to help us reach out to the kids of our community.

We couldn't do it without you!
Dress Code
**PLEASE NOTE: We have a dress code for junior leaders. Appropriate and modest clothing must be worn during the week. We ask that only one-piece bathing suits or appropriate tankinis be worn during water activities.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Leduc Community Baptist Church. Report Abuse