*Denotes Required Field * Title * First Name * Last Name Commitment * I commit to join The Plunge: Sr. Teen Camp as a PEPPER (August 17th - 22nd) Yes No * Photo Note: You are using an older browser; we strongly recommend using Internet Explorer 10+ or recent versions of Google Chrome or FireFox. Drop a file here to upload or click to select a file from your computer reset * Age * Date of Birth Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2011 2012 * Gender Male Female * Phone ( ) - * Email * Mailing Address * City * Province * Postal Code * Unisex Shirt Size Please select an option Extra Small Small Medium Large Extra Large XX Large * Mother/Legal Guardian's First Name * Mother/Legal Guardian's Last Name * Mother's Phone # ( ) - * Father/Legal Guardian's First Name * Father/Legal Guardian's Last Name * Father's Phone # ( ) - * Alternate Emergency Contact (other than parent/legal guardian) * Relationship (Relative, Friend, Neighbour, etc) * Phone ( ) - * Name of High School * Grade as of January 1, 2025 Food allergies and/or special dietary needs, if applicable (please indicate severity) Church Information * Church you currently attend * Pastor's Name (first & last) * Pastor or Church's Phone Number ( ) - * How often do you attend church? Please select an option Regularly - I am a member Regularly - I am not a member Occasionally attend Seldom attend Staff Policies Please read, sign and submit SBC's Code of Conduct and Social Networking Policy (also available at www.sunnybrae.ca, under Staffing > Forms) * I have filled out and signed the SBC Social Networking Policy Yes No * I have filled out and signed the SBC Code of Conduct Yes No Doctrinal Statement We believe that: 1. The Scriptures are inspired by God and without error in the original manuscripts. They are the final authority for faith and conduct. 2. There is one God, eternally existing in three persons: Father, Son and Holy Spirit. 3. Jesus Christ is truly God and truly man because He was begotten by God and born of the virgin Mary. 4. Jesus Christ died for the sins of every person. He was resurrected by the power of God. He ascended to heaven where He is now alive. 5. Man was created in the image of God. He sinned thereby incurring both physical and spiritual death which is separation from God. 6. Each individual must experience being born again of the Holy Spirit through personal faith in the Lord Jesus Christ, becoming a child of God. 7. God has called Christians to a life of conformity to the teachings of Jesus Christ. The Holy Spirit dwells in each believer to reproduce in each one the character of Jesus Christ. 8. Jesus Christ will return to earth personally and visibly at a time not known to any person. 9. There will be a bodily resurrection of the just and the unjust, a state of everlasting blessedness awaits the saved and a state of everlasting punishment the wicked. 10. Jesus Christ commanded His followers to go into all the world and preach the gospel to every person, baptizing and teaching those who believe. * I agree with the Doctrinal Statement Yes No Commitment & Pledge I am willing to be subject to the jurisdiction of SBC as a camper for the summer of 2025 I understand that this applies to SALT Training Week and all volunteer weeks. I choose to cooperate fully in every regard and explore to the maximum every opportunity for personal spiritual growth. I understand that applicants are selected based on spiritual and character qualifications. I understand that anyone demonstrating a poor attitude or a poor quality of service is subject to dismissal and that as a staff member, I will abstain from involvement in sexual immorality, gambling, occult activity, and the use of non-medicinal drugs, alcohol and tobacco. I agree with the Doctrinal Statement of SBC (listed below). I will allow pictures of myself to be used for the promotion of SBC (unless otherwise discussed). I have considered the matter prayerfully. Furthermore, I pledge to attend the SALT Training Week as well as serve two more weeks during Summer 2025. * Type Electronic Signature Typed Electronic Signature by Guardian if applicant is under 18 * Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2025