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     Sharing Christ with Others

Cabin Leader Form

Multi-line address
Birthday
Month
Day
Year
Gender
Male
Female
T-Shirt Size
YS
YM
YL
AS
AM
AL
XL
2XL
3XL

Cabin Leader's Medical History

Camp Insurance is Secondary to Personal Insurance

Any daily medications required?
Yes
No

If yes, please fill out the Medication Form listing medications and dosing schedules. This must be filled out and turned in at registration or mailed in with the form packet.

Is the leader allergic to any kind of food, medication, or sting?
Yes
No

Qualification, Consent and Medical Release

Cabin Leader Qualifications

  1. You must be at least 17 years old

  2. You must have attended SCWO in the past

  3. You must be an active member of the church of Christ

  4. You must be a good example for the youth

  5. You must be willing to work with children

  6. You must have leadership ability

  7. You must be dependable

Leader Declaration

As a Cabin Leader, I agree to participate fully in all planned activities of the camp and agree to abide by all rules of camp. I also understand that if I am not following the dress code I will be asked to change clothes by a staff member.


Leaders will be asked to change if they are wearing any of the following:

  • Spaghetti straps

  • Halter tops

  • Bare midriff

  • Miniskirts

  • Vulgar, obscene, or suggestive working or images of any kind

  • Caps during classes

  • Sagging pants/shorts

  • Cutoffs

  • Undergarments shown at any time

  • Shorts should be no more than 4 inches from the top of the knee

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I give permission for staff to give my child the following:

Acetaminophen - Tylenol or Generic
Yes
No
Ibuprofen - Advil or Generic
Yes
No
Cough Suppressant - Robitussin
Yes
No
Hydrocortisone Ointment
Yes
No
Antacid - TUMS or Generic
Yes
No
Aspirin
Yes
No
Antihistamine - Benadryl or Generic
Yes
No
Decongestant - Sudafed or Generic
Yes
No
Antibiotic Ointment
Yes
No

Media and Emergency Transportation Permission:

I give permission for photos of my child to be taken and understand that these photos may be posted on social media for information purposes. I also give permission for my child to be transported by ambulance to the nearest medical center in the even of an emergency and first aid be administered to my child in the event of a minor accident.

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