BCMC Summer Camp
Counselor in Training Program (ages 17 &18)
Camp Symonette, Eleuthera
Contact information:
325-6126 (St. Michael’s Church)
393-2355 (BCMC Office)
Email address *
Counselor In Training Application:
Each CIT is required to pay $75 which covers housing, breakfast, lunch & dinner daily, and activities.

An initial deposit of $75 is required with the return of the below liability release form by Friday, May 17th 2019

The remaining balance of $75 is due on Friday, June 28th 2019
*Spaces are highly limited*

*The total cost per participant is $250. To account for the $100 difference, we will be holding fundraisers and asking that campers provide physical assistance. Details regarding fundraisers will be provided as they become available. All donations will be accepted.*

What To Bring?
A good attitude
A Bible
A notebook with pen or pencil
Toiletries - Toothbrush, toothpaste, lotion, deodorant, soap, sunscreen
Flashlight
Bedding – Sheets, Pillow, Blanket
Beach towel, washcloth & towel for shower
Clothing for 5 days: Day wear, beach attire, sleep attire, tennis shoes, flip flops
Bug spray/Insect Repellent/Baby Oil

*All clothing should be modest and non-revealing. Please no tight fitting clothes, low cut neck lines or backs, exposed mid drifts, spaghetti straps. Shorts & cut-offs should be mid length. Females are asked to wear modest one piece swimsuits or a dark shirt over a 2 piece swimsuit. Males are asked to refrain from wearing speedo style swimsuits*

DO NOT BRING iPods, iPads, CELL PHONES, ELECTRONIC GAMES, ETC.
These items are not permitted will be confiscated and secured for the duration of camp.
I understand that this is an unpaid position with responsibilities that require both being an example to campers and . I agree by applying that I am willing to abide by the rules and expectations of those of Christian character and set forth by BCMC Camp Leadership. I also understand that I will need to arrive early for training and preparation on either July 12 or 13, 2019 and stay through July 27 unless given permission leave early. *
CIT First and Last Name *
Your answer
P.O. Box
Your answer
Address
Your answer
Age/Date of Birth *
MM
/
DD
/
YYYY
Home Phone
Your answer
Cell Phone
Your answer
E-mail #1
Your answer
Parent's Name *
Your answer
Father's Telephone #
Your answer
Mother's Telephone #
Your answer
Are you affiliated with a church? *
Required
What do you understand the job of Counselor-in-Training to be and why do you wish to serve as a Counselor-in-Training?
Your answer
Please list two (2) people to serve as references (Full name and Phone number.) We will call to ask for them questions to support your abilities and maturity to serve as a Counselor-in-Training. They should NOT be family members. *
Your answer
I hereby declare that all of the information given is correct according to my knowledge. I agree to abide by the rules and regulations set by the leaders facilitating this trip. *
Your answer
Date *
MM
/
DD
/
YYYY
Applicant's signature - Your name will be considered your signature *
Your answer
Parent/Guardian Signature -- Your name will be considered your signature. *
Your answer
LIABILITY RELEASE FORM
We (I) for and on behalf of my child participant do hereby release, forever discharge, and agree to hold harmless Young Life Bahamas and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child participant that occur while said child is participating in the above described trip or activity.
Furthermore, we (I) [and on behalf of our (my) child participant] hereby assume all risk of personal injury, sickness, death, damage, and expense as a result of participation and recreation and work activities involved therein.
Further, authorization and permission is hereby given to said organization to furnish any necessary transportation, food, and lodging for this participant.
The undersigned further hereby agrees to hold harmless and indemnify said organization, its directors, employees and agents, for any liability sustained by Young Life Bahamas as the result of negligent, willful, or intentional acts of said participants, including expenses incurred attendant thereto.
We (I) are the parent (s) or legal guardian(s) of this participant, and hereby grant my (our) permission for him (her) to participate fully in said trip, and hereby give our (my) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any.
Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action, or otherwise, we (I) assume all transportation cost.
Student's Name *
Your answer
M/F *
Required
Date *
MM
/
DD
/
YYYY
Parent's / Legal Guardian Name and Signature - Your name will be considered your signature *
Your answer
Please submit the completed application form to the Youth Office at St. Michael’s Methodist Church and a $75.00 deposit No later than Friday, May, 17, 2019. This application can be submitted through this form.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service