Centerpointar.tv

Intern Application

So you want to be an Intern at the CPC Summer Camp…great! Because we are striving to have the
best camp ever, we want the best Interns ever.
Requirements:
- You must be going into 9th grade to be eligible to be an intern. - Applications will be looked over and approved or disapproved, just because you fill out a form does not mean you will be accepted as an intern.
Full Camp Experience – Cost $75.00
This includes: All Meals & Snacks, Transportation, Admission to all Parks, Camp Shirt, Lodging
Expectations: Once you are on Camp Grounds you are fully involved in the Camp. You are there to be a
counselor to these campers, to make sure they are having a great time, they stay excited, stay positive,
cheers them on at the games…. this is a serious commitment. This means: Eating with the kids, Playing
games with the kids, Worshiping with the kids, Hiking with the kids, Helping clean up, Tear down….you get
the point.
Thursday Camp ONLY – Cost $20.00
This includes: All Meals & Snacks, Supplies to any Games/Crafts, Camp Shirt
Expectations: You will come in the morning and leave at night. There is no overnight Lodging. You will
check in and check out with a Camp Coordinator. Once you are on Camp Grounds, you will stay there until
the day is “complete” unless other arrangements have been made. You will be helping with games, projects,
in the kitchen, with worship … etc.
Friday Camp ONLY – Cost - $50.00
This includes: All Meals & Snacks, Admission to Magic Springs & the Alligator Farm, Camp Shirt
Expectations: You will come in the morning and leave at night. There is no overnight Lodging. You will
check in and check out with a Camp Coordinator. Once you are on Camp Grounds, you will stay there until
the day is “complete” unless other arrangements have been made. At the Alligator Farm & Magic Springs
you are to stay with your team and the team leader is your boss, this is not a free-for-all, you are here to
make camp an exciting place. You will also be helping with meals & snacks, in the service,
Saturday Camp ONLY – Cost $20.00
This includes: All Meals & Snacks, Camp Shirt, Access to all Events
Expectations: Camp ends Saturday around 2:00 pm, you will come in the morning and leave when the
campers do. You will check in and check out with a Camp Coordinator. Once you are on Camp Grounds, you
will stay there until the day is “complete” unless other arrangements have been made. This is our outdoor
games day, you will be helping with Obstacle Course set up and making sure the kids get through it while
having a lot of encouragement and fun, Helping down at the lake (again, focus on the kids, not your
friends), Helping with snacks & meals, Cleaning up…etc.
If you just want a Camp Shirt - $10.00

Deadlines
March 17th – Intern Application Due
March 31st – If Application is accepted a $25.00 is Due May 12th – Remaining Balance must be paid in full NOTE: You can make payments at the info table any time.
Rules
- At no point are you to leave the camp, all car keys will be taken up at the start of camp. If
there is an emergency or you have to work, special arrangements will be made for you to leave camp, but these are the exceptions, not the rule. - Cell phones will be allowed, but you are here to work and if we have to tell you repeatedly to put the phones away….we will put them away for you. While you are with the kids, be with the kids. During down time….text, FB, tweet and Instagram away. - You will be put to work, we promise. If you think you are coming to hang out with your friends … don’t sign up, you will be working and you will be asked to do a lot of different things. Keep a good attitude, especially in front of the children. If you have a problem with another intern or with a job you have been given – go to the Camp Directors or Team - If we see ANY Energy drink of any kind, they will go down the drain. You will be awake before the kids helping get the day ready. There will be no “sleeping in because we stayed up till 3 am”…. Not gonna happen. There will be a curfew and lights out time. - We want you to have just as much fun as the kids are having, and as long as you cooperate, and don’t cause problems, that can happen. These kids look up to you and we need you to - If you break these rules or become a problem, you will be asked to leave camp or we will have your parents pick you up and no refunds will be made. I have read, understand and agree with all the Expectations of an Intern at CPC Summer Camp. Print Name: _________________________________________ Signature: __________________________________________ Any Special Notes, Jobs or Skills would like us to take into consideration while going over your application: ___________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Direct all questions, concerns, money issues, scheduling issues to Camp Director Mandy Deitering or Asst. Camp Director Krystle Goodman.
INTERN Application & Release Form

PLEASE PRINT
Intern Name: _____________________________________________ Shirt Size: ________
Street Address: ___________________________________ City: ________ ST: ___ ZIP: _______
Age: ____ Birth Date: ___________ Gender: _________
Parent/Guardian Name: ______________________________________
Home Phone Number: _______________________ Cell Phone Number: ________________
Work Phone Number: _______________________
E-Mail Address: _________________________________________
Emergency Contact Name: ________________________________________
Relationship to Camper: __________________________________________
Home Phone Number: _______________________ Cell Phone Number: ________________
Work Phone Number: ________________________
Medical Information and Liability Release Form (write on back if needed)
Due to the nature of activities at CPC Kids Summer Camp, full disclosure concerning the camper’s medical history must be made. If full
disclosure is not made in advance, the Camp Director will be forced to refuse the camper, and the parents will be forced to pick up the
camper immediately. Campers who arrive with fever, ringworm, pink eye, head lice or any other communicable disease or undisclosed
handicap or disability will not be admitted.

Current Medications (send with specific instructions): _____________________________________
________________________________________________________________________________
List any diseases, physical or mental limitations: _________________________________________
________________________________________________________________________________
________________________________________________________________________________
List any and all Allergies (food, medical, insect, etc.) ______________________________________
________________________________________________________________________________
________________________________________________________________________________
Restricted Activities: _______________________________________________________________
Family Physician: _____________________________ Physician’s Phone Number: _____________
Family Medical Insurance Carrier: _________________________________
Phone Number: __________________________ Policy Number: ______________________

This form must be signed by the camper’s parent or legal guardian. If not signed, the application is considered void. As the parent or
legal guardian of the camper, I authorize camper to attend CPC Kids Summer Camp and to engage in all camp activities, including
water sports, outdoor activities and strenuous activities. I agree, personally and on behalf of camper to release CenterPoint Church and
their representatives and employees (individually and collectively) from all liability for harm to camper or camper’s personal property
resulting directly or indirectly from campers participation in camp, even if CenterPoint Church is negligent, and to indemnify CenterPoint
Church against any such liability. I authorize administration of any medical treatment necessary by CenterPoint Church and I agree to
release and indemnify CenterPoint Church against all liability and costs for treatment. I also authorize CenterPoint Church to use
photos taken of camper for promotional and record keeping purposes.

__________________________________________________ ________________
Signature of Parent

Source: http://www.centerpointar.tv/Journey_Camp/assets/internapp.pdf