Worker Application – CYC Caribbean

2025 Camper Application Form

for Caribbean Youth Camp

Lowes (Orange Bay) Camping Grounds, Jamaica

Church of God, a Worldwide Association

July 31 - August 4, 2025

GENERAL INSTRUCTIONS:

Worker fee: USD$100 per worker. Please make payments to local camp representative. NOTE: You must also complete the Health History and Examination Form for your application to be complete.

PERSONAL INFORMATION:

Applicant's Name:

Last *

First *

Middle

Gender:

Male

Female

Address: *

City/Town *

Parish *

Country *

Birth date: *

Telephone number: *

E-mail:

Do you attend church regularly?

Yes

Congregation: *

Pastor's name: *

Adult Polo Size:

XXL

Have you attended COG camps before?

Yes

If yes, when and where?

Swimming proficiency:

Can't swim

Beginner

Intermediate

Skilled

Current Lifeguard?

Yes

If current in first aid, CPR, etc., please list:

APPLICATION SUPPLEMENT & HEALTH:

Since some of our staff may transport campers on occasion, do you have a driver's license?

Yes

If yes, please give the country and license number:

Country:

License Number:

Do you have any health problems, disabilities, severe allergies or any other condition that may require treatment at camp or that could limit your camp experience and full participation?

Yes

If yes, please explain

List any on-going medical care or medication you are taking (if none, state "NONE"):

POSITION(S) APPLYING FOR:

(Please toggle the switch then place a number beside all you are interested in, with #1 being your first choice.)

No two positions can have the same rank

REASON(S) FOR APPLYING:

If selected as a staff member, what can you contribute to camp? *

WORKER PHOTO:

Upload photo
The photo should capture the worker's face only & the file must not exceeed 2MB in size.

The uploaded file is too large.

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