Able to Accommodate: Vegetarian, lactose intolerance, and gluten free.
Not Able to Accommodate: Acute allergy to nuts/peanuts, celiac, dairy intolerance, and vegan.
See document for further details and how we are willing to work with you.
Medication must be sent in original container with original pharmacy instructions or CWB staff or programming group will not be responsible for the administration of the medication.
Our insurance company strongly recommends that we send a camper home if they come to camp without medication prescribed for daily use.
Leave blank if not applicable.
Asthma, allergies, heart condition, etc.
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For the safety of our children and youth, a background search will be completed on Association employees and volunteers. Your signature below authorizes the Association of the Churches of God in Oregon, Inc. and/or its agents to make an independent investigation of your background, references, character, past employment, education, criminal, or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on this application. I release the Association of the Churches of God in Oregon, Inc. and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims, or lawsuits in regards to the information obtained from any and all of the above referenced sources used.
By submitting this form, you agree that the information provided is correct.
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