Adult / CIT Volunteer Application Form
(CITs must be 16 years of age by June 30, 2008)
(Please remember to include your fee of $25.00)
Name___________________________________________________ Male ___ Female ___
Mailing Address _____________________________________________________________
_________________________________________________________________________
Postal Code _______________
Date of Birth__________________________ MCP Number______________________________
home phone number
Name of Home Church
__________________________________________________________
Have you attended camp before? _____ Burry Heights_________________ Other _________
Camping Interest (please check)
___Bible Study ___Crafts ___Drama
___Sports ___First Aid ___ Other
___Water Sports ___ Music
Person to contact in case of emergency:
__________________________________________________
Phone
_____________
Parent’s Signature (for CITs)
_________________________________________________________
Write a paragraph telling (1) why you want to volunteer and (2) what you can
contribute to the Burry Heights Summer Camping Program.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
To be considered as a CIT for any camp, persons must be seventeen years of
age (17) for a Teen Camp.
Those persons not sixteen (16) by June can only be
considered for a Junior Camp.
Applications to be sent to:
Jeffrey Jerrett, General Delivery, Cavenish, NL A0B 1JO