Camp Medical Request

To request a medical bag or medical volunteer* for an upcoming camp, complete the form below.

Please allow a minimum of 2-3 weeks to process.

If you have any questions, please contact [email protected]

*We can not guarantee that we will be able to find a medical volunteer so you should also be actively recruiting for this position.

Camp Medical Request (medical bag or medical volunteer)

What is being requested? *

Your Name

Email

Phone

Medical Bag Pickup (Enter a specific date or timeframe not to exceed one week) *

Medical bags are available for pick up at the North Coast Safety trailer on the Vista Campus.

Date Leaving: *

Date Returning: *

Contact information for person designated to pick up and return medical bag. (Full Name, Phone Number and Email) *

Ministry: *

Campus: *

Grade Level (if Students are present):

Medical Personnel Name (Full Name), Phone Number and Email:

Medical bags are provided by NCS to be used by medical professionals | If you do not have a medical professional attending your camp, please go back and select "Medical Volunteer."

Medical Personnel Credentials:

Additional Medical Personnel Name(s) (Full Name), Phone Number and Email: (If Applicable)

Type of surrounding area? Are there resources close by or is this an area that is more isolated?

Camp Location (address, website and other needed information):

Point of contact while at Camp (Include Full Name, Cell Number and Email):

Type of area surrounding camp: How isolated is the area? Is there a town & resources close by?

Meet up Place & Time: (If meeting at camp location please state that)

Pre-Camp Meeting (Provide Date, Time and Location:)

What are the sleeping & bathroom accommodations at camp?

Is food provided or do you bring your own?

What type of camping equipment is needed if any?

Any special information the volunteer should be aware of?

Additional notes

If you have any questions, please contact [email protected]