Camp Eddie Student Leadership Application
BOTH PARENTS AND STUDENT WILL BE NEEDED FOR A PORTION OF THIS FORM.

This is the application to be a part of Camp Eddie, August 19-23. Student leaders need to be available the entire week as well as a training prior to Camp. Leaders must arrive at 8:30am and stay until 4:30pm on each day of camp. Any questions? Contact Nicole nsmalley@stedwardschurch.org at 952-212-3750.

Students entering grades 6-12 for the 2019/2020 school year can apply. Current Acts 29 leaders do not need to fill out this form but can contact Nicole or Patrick Smalley directly.

What we expect from our student leaders:
• Attendance at every day of camp from 8:30am-4:30pm.
• That you lead. You will be in charge of a small group of campers leading them through activities, games, conversations, etc. We expect you to model participation, have a positive attitude, engage your campers and build relationships with them.
• That you have fun!
• That you act as a Christian role model should.

First and Last Name *
Your answer
Cell Phone Number (if you have one):
Your answer
Email Address *
Your answer
Grade for 2019/2020 school year *
T-shirt Size *
Please list any allergies or physical limitations here.
Your answer
Please list the name and phone number of an adult we can contact in case of emergency. (It can be your parent.)
Your answer
For the Student - What about you will make you a good camp leader? *
Your answer
For the Student - How can you help your campers grow in their faith through this week of camp? *
Your answer
All students must attend ONE training day. This is mandatory for all volunteers. Below are the options, please select ONE. Food will be provided. *
Required
For the Parent - Image Release *
For the Parent - Emergency Care Authorization *
For the Parent - Family Insurance Provider, Policy Number and group number *
We require this information in the case that emergency care is needed and a parent is unavailable.
Your answer
Parental Electronic Signature - Type your initials here *
I/we give permission for my child to take part in Camp Eddie and all the associated activities. In consideration of the opportunity for my child to participate and fully recognizing that such an undertaking involves an element of risk, we assume all risks and hazards incidental to such participation and do hereby release, absolve, indemnify, and agree to hold harmless the Archdiocese of St. Paul and Minneapolis, Church of St. Edward, nor any of said persons shall be held financially responsible for any injury, illness, or death incurred as a direct or indirect result of this activity, except for gross negligent acts.I acknowledge that my initials represent an electronic signature that is intended to represent my legal signature. I accept all of the terms in this agreement and my initials (electronic signature) confirms my acceptance.
Your answer
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