| Please read application form carefully. |
Applicant's Name: ____________________________________ Birth Date: _________________
Mailing Address: _______________________________________________________________
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________________________________________________________________________________
Telephone #: (Home) ________________________ (Work)________________________
Applicant must be at least 12 years of age.
If under age 18, the following must be completed:
"I do hereby grant permission for ______________________________ to submit this application for a staff position at Canoe Cove Christian Camp and, if accepted, to serve during the camp dates noted in this application".
Print name of Parent/Guardian: _____________________________ Telephone #: ________________
Signature of Parent/Guardian: ______________________________ Telephone #: ________________
Reference/Endorsement by Church Leadership
Church applicant attends: _________________________________________________________
Church Address: ________________________________________________________________
________________________________________________________________________________
Minister/Elder: ______________________________________ Telephone #: __________
"The applicant ______________________________ is known to attend services in our congregation and is of commendable Christian character, suitable to serve at Canoe Cove Christian Camp with the blessing and encouragement of the Leadership of this Church."
Signature of Church Leader:____________________________________________
(Minister/Elder)
Please indicate the dates and grade levels of camp(s) you would like to be considered for:
Date: __________________________________ Grade level: _______________
Date: __________________________________ Grade level: _______________
Date: __________________________________ Grade level: _______________
Date: __________________________________ Grade level: _______________
Date: __________________________________ Grade level: _______________
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| Name | Relationship | Phone Number |
| _____________________________ | ________________________ | ________________________ |
| _____________________________ | ________________________ | ________________________ |
"I have read and do hereby understand and agree to abide by all the conditions set forth in this form and by all the camp's rules and regulations if accepted to serve at the camp."
Applicant's Signature: __________________________________ Date: _______________
CANOE COVE CHRISTIAN CAMP
Staffing & Programming
P. O. Box 661
Charlottetown, PE C1A 7L3
(902) 675-3039
Remuneration policy: Your service may count toward your own camp registration fees, on a "Day-For-Day" basis, or toward your application for the Provincial Community Service Bursary. Please contact the Camp Manager for further details.