LDP Application

*The information you provide will be kept in strict confidence*
*ALL information must be provided to be processed*

A. Personal Information

Photo This serves to help put a face to your name. Please upload a small .jpg of yourself
First name: Last name:
Mailing Address:	City/Town:	Province:
Postal Code:	Home Phone: Cell Phone:	Country:
Gender: Male Female	Social Insurance Number (without spaces):	Email Address:
Date of Birth: (MM/DD/YYYY) / /	Age on July 1, 2012:	Grade Entering on Fall 2012:
How did you hear about LDP?

B. Family Information

Parent/Guardian 1 Name:	Parent/Guardian 1 Occupation:	Parent/Guardian 1 Home Phone: Parent/Guardian 1 Work/Cell Phone:
Parent/Guardian 2 Name:	Parent/Guardian 2 Occupation:	Parent/Guardian 2 Home Phone: Parent/Guardian 2 Work/Cell Phone:

C. Church Information Church you attend: Denomination:

D. Medical Information

Health Reg. # (without spaces, 6 digits on top of purple card):	Personal Health ID # (without spaces, 9 digits):
Please list any health problems, allergies, or medications required (eg: asthma, diabetes, epilepsy, etc.):
Emergency Contact 1 (other than parent):	Home Phone:	Work/Cell Phone:
Emergency Contact 2 (other than parent):	Home Phone:	Work/Cell Phone:

E. Christian Experience Information 1. When and how did you receive Jesus as your personal Saviour? 2. What difference/impact does being a Christian make in your life? 3. Describe your relationship with Jesus Christ over the past 12 months. (Include your devotional/prayer life) 4. Why do you want to come to LDP? 5. Describe your relationship with your parent(s) and siblings. 6. What are some strengths/gifts you wil bring to this ministry? 7. What are your concerns when thinking of getting involved at this ministry of Winkler Bible Camp? 8. What is one of your favorite passages of scripture? 9. What type of Christian service are you/have you been involved in?

F. Personality Description

Click the number that best represents your position in each of the following questions:

1 = Rarely 5 = Consistently

	1	2	3	4	5
I study my bible
I pray
I am confident in what I do
I am outgoing
I prefer working alone
I prefer working in groups
I am more of a leader than a follower
I enjoy being given the opportunity to lead
I can lead if I have to
I am an encourager
I like if when things are organized
I am spontaneous
I am quiet
I ask for help
I struggle with low self image

G. Session Information Which session of LDP would you like to attend? Please select your first and second choices. First Choice Second Choice

Cost: $340. Minimum $100 deposit required for your application to be processed.

Every effort will be made to accommodate your first choice, but we are limited to 24 LDP's (12 guys and 12 girls) per session. Sessions are filled on a first come, first serve basis.

FULL SESSION FEE IS DUE 3 WEEKS PRIOR TO THE START OF YOUR SESSION.

H. References

Please provide us with the outlined information of people you know well and will give an objective evaluation of your character, abilities, and work habits. Please print this Personal Reference Form (PDF). Write your name and then give the printed forms to the individuals listed below.

1. Pastoral Suggestions: pastor, youth paster, deacon, S.S. teacher, ect. Name: Home Phone: Work/Cell Phone:

2. Parent/Guardian Name:

I. Mission Statement: “E.N.E.T.”

E - Evangelizing - To introduce people to Jesus Christ
N - Nurturing - To nurture believers towards maturity in Christ
E - Equipping - To equip believers for the building of God's kingdom
T - Training - To train leaders for effective service.

Statement of Faith

The Word of God:
We believe that the Bible is the Word of God, fully inspired by the Holy Spirit. We believe that the Bible in its original manuscripts is free from all falsehood or mistake and so is entirely true and trustworthy in all matters and that it has supreme authority in all matters of faith and conduct.
The Trinity:
We believe that there is one living and true God, eternally existing in three persons; the Father, Son (Jesus Christ), and the Holy Spirit. They are equal in every divine perfection, and that they execute distinct but harmonious roles in the work of creation, providence and redemption.
Jesus Christ:
We believe in Jesus Christ, God's only begotten son, conceived by the Holy Spirit. We believe in His virgin birth, sinless life, miracles and teachings. We believe in His substitutionary atoning death, bodily resurrection, ascension into Heaven, perpetual intercession for His people, and personal visible return to earth.
Satan:
We believe that Satan and his demons are created beings and are adversaries of God.
State of humankind/Salvation:
We believe that humankind was created in the image of God; that humankind sinned and thereby incurred not only physical death but also spiritual separation from God; and that all human beings are born with a sinful nature. Everyone who reaches the stage of understanding moral responsibility and becomes culpable sinners, are in need of a Savior to bring them into a personal relationship with God. This is possible only through repenting from our sinful ways and accepting Jesus Christ as their personal Savior and that He paid the penalty of our sins by dying for us and rising from the grave conquering sin and death to live eternally. As such, all believers should attempt to live according to His guidelines as recorded in the Holy Bible and through the leading of the Holy Spirit.
Eternal life:
We believe in the bodily resurrection of all people. Those that have accepted Jesus Christ as their personal Savior, or have not yet reached the stage of accountability, will enter into eternal life of joy and blessedness with God and other fellow believers, and the eternal punishment for those that have not done so.

J. Code of Conduct

Winkler Bible Camp has adopted a Code of Conduct. It is as follows:

While on Winkler Bible Camp owned or operated property, everyone must refrain from the following:

Practicing, teaching, and/or promoting any religious practices contrary to or not in accordance with the Statement of Faith of Winkler Bible Camp
Teaching, promoting or engaging in pre-marital or extra-marital sexual relationships
Teaching, promoting or engaging in practices that contradict Winkler Bible Camp's belief that marriage is only between one man and one woman as it is described in the Holy Bible
Reading, viewing, or possessing pornographic material
Consumption or possession of alcoholic beverages
Use of profane or blasphemous language
Smoking in any buildings or on the grounds other than in the designated smoking areas
Littering, destruction of wildlife and/or nature, or hunting
Allowing pets in any camp buildings
Engaging in any behavior contrary to the Criminal Code of Canada

K. Agreement - Applicant

I have read the the Mission Statement and the Statement of Faith and agree with them and agree to abide by them as well as the Code of Conduct while I am an LDP participant and Winkler Bible Camp staff member.

I agree

L. Waivers and Conditions of Employment

The acting Camp Director reserves the right to dismiss a staff member who in his/her opinion is a hazard to safety and the rights of others, or who appears to have rejected the reasonable guidelines set for staff conduct (see Ethic & Lifestyle Code). In such event, the staff member/parent(s)/guardian(s) are responsible for any travel expenses that may result from the dismissal. The applicant/parent/guardian certifies that the applicant staff is normal in condition and habits and is amenable to necessary discipline.
The applicant/parent(s)/guardian(s) approving this application are those having legal custody of the applicant. Conditions of custody, if applicable, will be fully communicated in writing to the camp, including a photocopy of the session of any court order referring to visitation rights.
While every precaution is taken for the safety and good health of our staff, Winkler Bible Camp Inc., its directors, other staff members and other employees of facilities outside of the campgrounds are hereby released from any liability in the event of an illness, accident or misfortune that may occur to the applicant staff. Each staff must be insured by Provincial Health or equivalent medical insurance.
The signature of the applicant/parent/guardian on this application shall give the acting Camp Director or Medical Officer the right to arrange for any special services or other requirements necessary for the best interests of the applicant staff and shall give the acting Camp Director or Medical Officer the right to approve and obtain medical attention necessary for the applicant staff's welfare and good health including injection, anaesthesia or surgery. In such situations the camp will attempt to notify parent(s)/guardian(s) as soon as possible. The applicant/parent(s)/ guardian(s) are responsible for any additional expenses that may result from such services.
The signature of the parent/guardian on this application shall give the acting Camp Medical Officer the right to administer the use of any non-prescription drugs to the applicant staff and any relevant emergency treatment such as CPR, epi-pen, etc.
The signature of the applicant/parent/guardian on this application shall authorize the appropriate police force to make any investigation of its records and inquiries of other police forces as it may consider appropriate. It also authorizes the said police force to advise Winkler Bible Camp Inc. whether or not such sources contain information which in the opinion of the police force may be relevant to this application.
The signature of the applicant/parent/guardian on this application shall give the camp permission to use pictures or videos of the applicant for promotional purposes.

Parent/Guardian: As the parent/guardian of my child, I agree.

M. Checklist

Please complete the following item:

I have handed out 2 reference forms.

Winkler Bible Camp - Offering children and teens a safe environment in which to build friendship and explore their questions of faith.

LDP Application

Statement of Faith

Winkler Bible Camp has adopted a Code of Conduct. It is as follows:

Please complete the following item:

Registration

Camp

Beliefs