| First Name |
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| Last Name |
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| Age (if under 18) |
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| Gender |
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| Mailing Address |
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| City |
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| State |
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| Zip |
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| Parent/Guardian Name(s) (if
under 18) |
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| Primary Phone Number
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| Secondary Phone Number
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| Additional Phone Number 1
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| Additional Phone Number 2
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| Email Address 1 |
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| Email Address 2 |
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| Emergency Contact Name(s)
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| Emergency Contact Phone 1
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| Emergency Contact Phone 2
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| Home Church (if any)
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| T-Shirt Size |
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If applying
for counselor, do you want to be
assigned to your child's group? |
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| List your ministry experiences
that will
benefit you for service at Summer Hummer |
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| Choice 1 of areas to serve
at camp |
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| Choice 2 of areas to server
a camp |
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| Do you agree to allow Westwood Baptist church to
conduct a Criminal History Background Check on you prior to
serving at Summer Hummer 2008? |
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| Comments / Special Instructions
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| List names and ages of your children
under age 4 that you will need nursery and/or early childhood
care for while you serve at camp. Select time of day you will
need childcare. |
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Child 1
Age
AM/PM
Child 2
Age
AM/PM
Child 3
Age
AM/PM
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The information I entered on this application
is accurate and may be used by Westwood Baptist Church in evaluating
me
as a potential staff member of Summer Hummer. |
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| By submitting your application you are
consenting to the use of your image for future promotions of Westwood Baptist
Church. |
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