Personal

Name

First Name

Last Name

Date of Birth

(If under 21)

Address

Please fill in all boxes of address using N/A when required.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Telephone Number

Please provide no spaces.

Mobile Telephone

Please provide no spaces.

Email Address

Emergency Contact

First Name

Last Name

Emergency Contact Number

Please provide no spaces

Special dietary requirements

Choose which camp(s) you can attend

Weekend Senior

Weekend Junior

Summer Senior

Summer Junior

Financial Gifts

Gift to NECYC - NECYC is very grateful for all those who serve at Camp. Although there is no financial charge to leaders for serving at camp there is a cost incurred for every leader who attends. If you are able to give a gift to cover the cost of camp then this will be greatly appreciated. A Weekend camp costs approximately £100 each. A Summer Camp costs approximately £170 each. Gifts can be given The Lord's Work Trust or Bank Transfer to Account: 85194360 Sort code: 87-34-06 For bank transfer please use reference: Leader Gift

I understand the statement on financial gifts.

Training

Please include relevant dates if possible (Date of Training / Expiry Date)

Are you currently a member of the PVG children scheme?

Yes

References

Reference 1

First Name

Last Name

Address including Postcode

Please fill in all boxes of address using N/A when required.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address-Ref 1

Office Held

Reference 2

First Name

Last Name

Address including Postcode

Please fill in all boxes of address using N/A when required.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address- Ref 2

Position

Role

Please refer to the Leader's handbook for a description of each position

Christian Commitment

Have you been baptised by immersion?

Are you a member of a local church?

Name of the church that you attend

Policies and Handbook

I have read the policies and handbook that are in the leader's Information Page https://cyc-camps.co.uk/leadersinformation

Agree

Any further details of youth work

Declaration

Statement of Faith:

All Leaders at Camp shall be in agreement with its doctrinal position, which is firstly a belief in: 1. the unity of the Father, the Son and the Holy Spirit in the Godhead 2. the sovereignty of God in creation providence revelation and final judgement 3. the divine inspiration and entire trustworthiness of the Bible, and its supreme authority in all matters of Christian faith and conduct 4. the sinfulness and guilt of all since the original “sin of Adam”, rendering them subject to God’s wrath and condemnation 5. the redemption from the guilt, penalty and power of sin through the sacrificial death on the cross of the Lord Jesus Christ, the Son of God 6. the bodily resurrection of the Lord Jesus Christ from the dead, and His ascension to the right hand of God the Father 7. the necessity of the work of the Holy Spirit to make the death of the Lord Jesus Christ effective to an individual sinner 8. the justification of an individual sinner by the grace of God through faith in the Lord Jesus Christ alone 9. the indwelling and work of the Holy Spirit in every Christian 10. the expectation of the personal return of the Lord Jesus Christ and secondly a belief in the two ordinances left by the Lord Jesus Christ for all His followers, these being: 11. baptism by immersion of all Christians 12. regularly remembering the Lord Jesus Christ by “breaking bread”

Agree

I declare my personal faith in the Lord Jesus Christ. I am prepared to commit myself wholeheartedly to the work of Camp. I will accept the Officer in Charge’s authority. All details provided are correct and up to date, and I will notify any changes prior to Camp. I have read and agree with the Statement of Faith. I confirm that I will read and will comply with the current Child Protection Policy and Leaders Handbook.

Agree

Thank you for your application! We will been in touch with you shortly.