Highlands Summer Camps Application

Highlands Summer Camps Application

Loving summer camps? We have several you can consider booking to... fill out the form template online and decide which on is your next summer's experience! Form Preview
Highlands Summer Camps Application
  • Thank you for your interest in the Highlands Camps in Belgium, Cambodia, and Mexico this coming summer!

     

  • Personal Information

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  •  -  - Pick a Date
  • Travel Information

  • Camp & Travel Experience

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  • Emergency Contact Information

    Please provide contact information for two emergency contacts.
  • Emergency Contact #1

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  • Emergency Contact #2

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  • Medical Information

    ** THE FOLLOWING INFORMATION WILL BE KEPT CONFIDENTIAL. IT IS GATHERED SO THAT LU SERVE INT'L AND IMPACT YOUTH WORLDWIDE MAY BE ABLE TO BETTER CARE FOR EACH INDIVIDUAL. PLEASE TAKE THE TIME TO ANSWER EACH QUESTION AND FILL OUT THE INFORMATION THOROUGHLY. **
  • ** The student is responsible for all medications that must be taken during the trip. Take care to bring the necessary medications in their original containers. **

  • Medical History

    ** Please answer each question honestly by checking Yes or No. If you answer yes to any of the following please explain the space provided. This information will not necessarily disqualify you from going to serve at a Highlands Camp. **
  • Relationship with Jesus

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  • Should be Empty: