Counselor & Worker Application Nazarene Youth Camps: 2017
Senior High Camp
Grades 10-11-12
June 12-16
Mail to:
Rev. Angie Wilson
400 Center St.
Elkins, WV 26241
304-614-9831 / Middle School Camp
Grades 7-8-9
July 17-21
Mail to:
Rev. Ollie Parsons
5106 MacCorkle Ave. S.E.
Charleston, WV 25304
304-746-3979 / Junior Camp
Grades 4-5-6
June 26-30
Mail to:
Lisa Hobbs
616 Jameson Street
Parkersburg, WV 26101
304-834-4508 / Primary Camp
Grades 1-2-3-4
June 19-23
Mail to:
Brenda Koontz
PO Box 13235
Charleston, WV 25360
304-741-4342

Send Worker Application to the director of the camp that you plan to attend.

Name of Volunteer: Birth Date: T-shirts S M L XL XXL

Address: City/St/Zip

Email (if available): Home Number: Emergency:

Nazarene Church you attend: Pastor’s Name:

How long have your been a part of this Church?: Are you a member: Y / N How Long?

What positions have you held in the Church of the Nazarene? (Sunday School, Quizzing….)

Do you abide by the rules of the Church of the Nazarene? Y / N

Will you abide by the rules of the camp that you will attend? Y / N

Have you completed a background check permission form? Y / N

Have you ever been charged with or convicted of sexual assault? Y / N

(Please make a copy of insurance card and attach the copy to this registration form)

Which Camp would you like to attend? / In what area would you like to assist?
______Primary/Middler Camp / ______Counselor (in student dorm)
______Junior (pre-teen) Camp / ______Sports Worker
______Junior High Camp (MUST BE 21) / ______Teacher
______Senior High Camp (MUST BE 21) / ______Night Watchman
______Other ______
Pastor’s Recommendation

Volunteer’s Signature: Date:

(all applications to assist as a volunteer/worker at our youth and children’s camps must include a Nazarene pastor’s recommendation)

I have read the application above and to the best of my knowledge, I can recommend this volunteer for work with the children and youth of our Nazarene Camp in Summersville, West Virginia

Pastor’s Signature: (Pastor/Associate of the Church listed below)

Church: Church Phone:

CAMP RULES

The Camp is owned and operated by the West Virginia North and South Districts Church of the Nazarene, for the Glory of God, the proclamation of the gospel of Jesus Christ, emphasizing Holiness, Evangelism, the preservation of the faith delivered to the saints, the growth and strengthening of the Church of the Nazarene, especially its ministry to youth.

1.  No smoking or using tobacco products in any form, drinking of intoxicating beverages, unauthorized use of drugs & any illegal substances in any form on camp property. All medications must be registered with the Camp Nurse.

2.  There is to be no sexual immorality on campgrounds.

3.  All campers are expected to conduct themselves in a Christ-like manner.

4.  Loud, boisterous rowdy conduct shall not be permitted at any time.

5.  Cell Phones, IPods, Video Games will be confiscated if abused.

6.  All campers assigned a room must use that room.

7.  Under no circumstances, will male campers be permitted in the female dorm area, nor female campers allowed in the male dorm area. Campers will be sent home if this is violated.

8.  No explosive materials, fireworks, firecrackers, etc. are permitted on the campground.

9.  Dress – Modesty is our rule:

a.  Both men & women are to dress modestly & appropriately at all times while on camp property.

b.  T-shirts are to be worn over swimsuits during swimming, lake and river activates.

c.  Men are to wear shirts at all times outside of the dorms.

d.  Shoes are to be worn at all times.

e.  Campers are expected to dress neat & clean for all worship services and meals.

f.  Sun dresses, halter tops, tank tops, and muscle shirts are unacceptable unless you wear a jacket or shirt over them.

10. Any damage to property will be charged to the offender.

11. Attendance is required at all classes, services, and sporting events.

12. Public displays of affection will be limited to holding hands.

13. We have zero tolerance for bullying.

If discipline merits a camper being sent home, the camper will be suspended for one year from all campground activities including Singspiration, Family Camp, Assemblies and their age appropriate camp the following year.

If disciplinary action is taken merits sending a camper home, the Camp Director will notify in writing: Parents/Guardians, Pastor, District Superintendents, and appropriate Camp Director for the next year.

Revised March 2017