Form - Hartland Christian Camp

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Gender *

I am interesting in serving as a volunteer counselor for: *

Date of birth (Counselors must be 18+ for Junior Camp and 20+ for Jr. High and High School)

Church you attend *

City where your church is located *

Describe your current relationship with Christ, including when you became a Christian and your present participation in ministry activities. *

If a camper were to ask you, "how do I get saved and become a follower of Jesus," what would you tell them? *

Have you ever been convicted of any crime? *

If yes, please explain.

Any other information you would like to share?

Name of pastor or Youth Pastor *

First

Last

Pastor's Phone *

Pastor's Email *

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