Catholic Campus Ministry at
Northern Michigan University

Marquette, MI #CatholicCats

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- interested in volunteering for catholic summer camp 2024???
  
  Camp volunteers will be expected to be on camp this year from Sunday, July 21 through Thursday, July 25.
  
  Fill out your information below, and you will be contacted by one of our camp staff members!
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Personal Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Emergency Contact 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Emergency Contact 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Health Information
  
  Family Doctor Name REQUIRED Please fill out this field. Please enter valid data.
  
  Family Doctor Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
  
  Please list any known alergies or health problems
  
  After you submit your registration below, you will be provided with instructions to submit your health insurance card.
  
  Medical Treatment Release
  I do hereby authorize emergency medical treatment for myself or my child (if a minor) by a licensed Medical Provider in case of serious accident or illness. This authority is granted after reasonable effort has been made to contact any of the Contact Persons listed on this form
  I Agree Please select this field.
  
  Photo/Recording Release
  I give permission for any photograph, video, audio recording and/or likeness procured of myself to be used by the Diocese of Marquette. These may be used for promotional purposes and reproduction in any type of media form. I understand and agree that the use of my photograph, video or audio recording, and/or likeness is not an invasion of privacy. Neither I nor anyone claiming to be speaking on my behalf will object to the Diocese of Marquette using this material.
  I Agree Please select this field.
  
  I have completed, or will complete, the Criminal Background Check and Protecting God's Children Awareness session prior to my volunteering at Catholic Camp.
  I Agree Please select this field.
  
  Digital Signature REQUIRED Please fill out this field. Please enter valid data.
  
  Submit
  
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