Counselor Registration

Counselor assignment *

Name *

First

Last

Gender *

Age *

Shirt size *

Address *

Email *

Marital status *

Contact telephone *

Hobbies/interests

Personal testimony *

Please share a brief statement of your salvation testimony.

Pastor's Name *

Pastor's email *

Church address *

Counselor training session (All counselors strongly encouraged to attend June 26 or July 24, 9:30 am) *

I am a member in good standing at my church. As a volunteer at Camp Deer Lake, I will be primarily responsible for youth from my church group. My service will include chaperoning activities, offering spiritual leadership in dormitories, spiritual encouragement during morning/evening devotions, and personal counseling in chapel services. Potential counselors must be recommended by pastor. Criminal background check may be required if approved. *

I understand and accept the terms stated throughout this application form.