Staff Registration

Use tab to navigate through the menu items.

First Name

Middle Name

Last Name

Email

HAve you ever gone by another name?

Yes

No

Date OF Birth

Please Give That Name

HAve you Served at Camp Before?

Yes

No, This is My First Time to Serve With This Camp Group

Street Address

City

State

Zip Code

Phone

What Church Do you Attend?

What Church if Other?

What is your occupation?

Who Is Your Employer?

Shirt Size (There is a $10 charge for a shirt collected at camp)

Upload a Picture of Yourself

Upload File

Upload supported file (Max 15MB)