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Volunteer · Ages 21+

Volunteer Registration

Thank you for serving. This guided form collects the contact, health, shirt, emergency, and consent details camp leadership needs.

Volunteer Registration

What is your full name?


What is your date of birth?


What is your home address?



What is your phone number?


What is your email?


Leader/Worker Information

Group leaders must be saved, sanctified, and filled with the Holy Ghost. General workers must be at a minimum saved and sanctified or actively pursuing a sanctified lifestyle. Each individual should strive to live and maintain a lifestyle of Holiness.


Please check all that apply regarding your current spiritual status.





Please select the areas you desire to work in below:







Shirt Preference

Church Information



Emergency Contact



Do you have any dietary restrictions?



Do you have any allergies?



Any known health problems or physical limitations?



Are you currently taking any medications?


Are you able to administer medication without assistance?


If needed, can the Heritage Camp Directors or their authorized representatives administer pain medication?


Do you have medical insurance?



First Aid & Emergency Medical Treatment Statement

I recognize that there may be occasions where I or my child, if a participant, may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for the Heritage Camp Directors to seek and secure any needed medical attention or treatment for my child or myself, including hospitalization, if the need arises. I agree that Heritage Youth camp is not responsible for fees or costs arising from the action to obtain medical treatment for my child or myself. I give permission to the physicians and other medical personnel to administer any needed medical treatment , x-rays, injections, anesthesia, hospitalization, I-V's, blood transfusions, medications, and surgery for my child or myself.


Acknowledgment

By signing below, I acknowledge that the information provided is accurate and that I agree to follow camp policies and directions from camp leadership.



For Heritage Youth Camp 2026, the cost is $125 per camper or worker. This fee helps cover the costs of hosting camp and providing a great experience for everyone involved.

Checks are preferred and should be made payable to Heritage Youth Camp, with “2026” written in the memo line. Payments may be mailed in advance to:

Heritage Youth Camp
4869 Wilson’s Mills Rd.
Clayton, NC 27520

Please note, payments can be mailed until June 15, 2026. After this date, payments will be accepted on the first day of camp during arrivals.





Need to make a change? Return to the registration choices.