Blue Ridge Gospel Tabernacle
445 Blue Ridge Court
Rocky Mount, VA 24151

Telephone:        1 (540) 483 - 7977
FAX:                 1 (540) 484 - 1466

Blue Ridge Youth Camp Volunteer Application

Volunteers must be 18 or older and be able to legally sign waivers.


(List your pastor's name & phone number below for BRYC staff to contact them for a pastor's recommendation)

**NOTICE: Blue Ridge Youth Camp does retain the right to perform formal background checks before approving your application as a volunteer youth worker. By submitting this application you affirm that the above information on your application is correct and agree to the following terms and conditions:

I AGREE TO hold harmless Blue Ridge Chapel, Inc., Blue Ridge Youth Camp and/or its subsidiary ministries and leaders for any damages, losses or injuries that I may incur as a result of my participation on campus activities or field trips. I agree to follow all rules and regulations expected of me as a volunteer counselor both written and verbal. I acknowledge that I have read the camp guidelines and agree to conduct myself in a way that brings honor to the name of Jesus, myself, the youth camp and my home church both on and off campus while I am serving as a volunteer. I will not allow myself or encourage others to become involved in any activities during my visit that would be a breach of the camp guidelines or put myself and/or others in harm's way. I agree to arrive on-time and participate fully in all camp activities with a cheerful attitude. I understand that any breach of these terms and conditions can result in my immediate dismissal from BRYC.

(Please fill out this Medical Information)

I grant permission to Blue Ridge Youth Camp to administer general first aid treatment to myself for any minor injuries and illnesses. I also grant BRYC, in the case of servere illness or injury, to summon any and all professional emergency personel to attend, transport, and administer medical diagnosis, treatment or hospitalization to myself if deemed necessary by a medical professional. I am also aware that any medical expenses are of my own responibility and do not hold Blue Ridge Chapel, inc. or its subsidiary ministries, employees, or volunteers responsible for medical expenses I may incur.


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