Forms for 72-Hour Camps
Adult Staff Forms | Children's Forms
The following is an explanation for completing the forms. All the requested information on the enclosed forms is required by the state of Colorado. Please do not change any of these forms.
- Children's Camps - Staff Record Form
Front side: This form is a checklist that must be completed by you. It lists all the information required by the State of Colorado and will help you determine if you have all that is required.
Back side: This side is specific to the staff and their qualifications to be staff.
- Director:
Must be at least 21 years old.
Must provide a resume, emphasizing ability to be director of camp.
- Health Provider:
Must be R.N., physician or L.P.N.
Must provide a copy of current license.
Must be available to the campers and staff 24/7.
Must go on all day trips.
- Special Activities:
(check one of the activities that apply)
Must provide a resume, emphasizing qualifications in special activity.
Must provide a copy of certification in special activity.
Must provide a CPR and First Aid certificate.
Must provide a current driver’s license
- Staff Registration Form
- Staff Health History Form
- Physician/Nurse Practitioner Statement
It is essential that all the information requested be given.
- Reference for Verifying Character and Suitability for Working with Children
This form requires three (3) references.
- Letter of Agreement
This form must be completed by the director.
- Statement of Affirmation
Each staff member must sign this form. If a staff member cannot sign this form then they do not qualify to be staff at your camp.
- Requirements for CBI Clearance and Central Registry for Children's Camps
This is a form explaining what is required by the state regarding background checks and fingerprinting.
- World Impact Ministry Release and Waiver of Liability
This form must be completed, front and back for all persons who visit our property. Only one form is necessary per family, in the case of siblings attending or when parent and child attending.
All the requested information on the enclosed forms is required by the state of Colorado. The following is an explanation for completing the forms. Please do not change any of these forms.
- Children's Camps - Children's Records Form
This form is a checklist that must be completed by you. It lists all the information required by the State of Colorado and will help you determine if you have all that is required.
- Camper Registration, Authorization for Emergency Medical Care, Authorization to Participate or Exclude Participation in Camp Activities
It is essential that all the information requested be given.
- Health Statement
The child is required to have a physical within 24 months of the camp.
This form must be completed and signed by a physician or nurse practitioner prior to the camp.
- Immunization Form
The state requires a copy of this form for residents of Colorado.
For those who reside outside of Colorado you may ask your physician or nurse practitioner to complete this form.
- World Impact Ministry Release and Waiver of Liability
This form must be completed, front and back, for all persons who visit our property. Only one form is necessary per family, in the case of siblings attending or when parent and child attending. This form cannot be signed by a child.
- Abuse reporting form
This is a letter from the State of Colorado giving the parents phone numbers to report suspected child abuse while at Deer Creek.
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