Contact

Doug Nordman
La Casa de Cristo Lutheran Church
480-948-1234
rfkc@lacasadecristo.com

Royal Family Kids' Camp 2017

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  • Camp Week I wish to assist with (or select both if available for either one):

  • I would prefer my campers to be (choose as many as you want):

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  • Do you have certification in the following?

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  • Please check the words that describe you:

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  • Have you ever / do you (please explain any yes answers in a separate email):

  • BY SUBMITTING THIS APPLICATION, I STATE THAT: The info. contained in this application is correct to the best of my knowledge. I authorize any references or churches listed to give you any info. that they may have regarding my character and fitness for children or youth work. In consideration of this application by RFKC, I hereby release any individual, church, youth organization, charity, employer reference, or any other person or organization from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any info. provided about me by any person or organization identified by me in this application. Please be advised that a criminal history check will be requested from the state of Arizona as authorized by state law.


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