camp medical request To request a camp medical bag or medical personnel for an upcoming camp, please complete the form below. Please allow a minimum of 4-6 weeks to process. Priority is given based on request date. The more time provided for your request, the more likely it can be fulfilled. If you have any questions, please contact [email protected] Summer Camp Team Request Date of Request: Ministry: Campus: Point of contact: (Inlude Full Name, Cell Number and Email): Grade: What is being requested? Medical Bag Only Medical Volunteer 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? Contact information for person designated to pick up and return medical bag. (Full Name, Phone Number and Email) 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. Camp Location (address, website and other needed information): Date Leaving: 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:) Date Returning: 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 Submit If you are human, leave this field blank. If you have any questions, please contact [email protected]
