Emergency Contact

Emergency Contact (1) First Name

Emergency Contact (1) Surname

Relationship to Leader

Email Address

Primary Contact Number

Alternative Number

Emergency Contact (2) First Name

Emergency Contact (2) Surname

Relationship to Leader

Email Address

Primary Contact Number

Alternative Number

Medical Information

Doctor's Name

Contact Number

Address

When did you last have a tetanus injection?

Please advise of any disabilities, medical conditions (including details of medication and dosage) or any other relevant information which may affect the leader’s participation at Camp.

Please advise of any allergies or intolerances that we (including First Aid and Kitchen Team) should be aware of.

Maranatha Camp cannot accept responsibility for incidents arising as a result of withheld information.

Describe how God is currently working in your life and what difference your faith makes.

What gifts/skills/talents do you feel you could bring to the MCamp Leadership team? Are there any areas you would like to develop further?

What church do you currently attend? Do you have an active role within the church or serving God within other Christian activities? For example, a youth group, band, bible study. Please give details.

Please note: Maranatha Camp cannot accept responsibility for incidents arising as a result of withheld information.

All leaders must complete a PVG check before attending Maranatha Camp.

All leaders must abide by the following Camp rules:

Comply with the Child Protection Policy
Cooperate fully with punctuality, cleanliness, tidiness and involvement in the programme
Take care of Camp and site equipment
No drinking alcohol or smoking
Do not leave Camp without notifying

Your Signature

Please note that it is a requirement to have a reference form sent alongside this application form. This can be found on the leaders page

Thank you for applying, we will be in contact soon!