2010 MAC MAN Application MAC Camp
Lake Yale
____ June 14-18 		Blue Springs
____July 12-16

Name________________________________________ Age _______ Date of Birth ______________

Home Address ___________________________________ City __________ County_________State______ Zip _______

Home Phone ( )____________________________ E-mail address_________________________________

Social Security # (Required for background Check) __________________________________

Place of employment ________________________________________________________________________________

Work Address ______________________________________________________ City ____________________________

State _____ Zip ____________ Work Phone _______________________ Spouse's Name _________________________

What name do you wish to be called?_________________________________ (Campers address you as Mr. and this name)

Church Membership ________________________________________________ City ___________________________

Pastor's Name __________________________________________ Pastor's Phone ___________________________

Personal Friend/Character Reference other than pastor _____________________________________________________

Address __________________________________________________ City/State/Zip____________________________

Camp Staff usually instruct all activities. MAC Men are asked to assist staff with the various activities. Please indicate

areas that you have experience or interest in participating.

__ Archery __ Air Rifles __ Canoeing __ Team Sports __ Golf __ Campcraft __ Nature Study __ Lifeguard

__ Adventure Rec./Ropes Course __ Crafts (Leather, Woodcraft and lacing) Other________________________

What T-shirt size do you wear? __ M __ L __ XL ___XXL __XXXL

Do you have a son or church member attending the week you want to serve as a MAC Man? ____ If so do you want to be
housed in the same cabin? _____ Child's name and Grade ___________________________________________

Please briefly desribe the reason that you feel called to serve as a MAC Man this year?




MAC Men play a key role in the overall structure of the Missions Adventure Camp program. They must be friendly,
flexible, willing to participate as needed, and abide by the rules/policies of the camp. MAC Men must also undergo
background checks in accordance to Florida Law.

By signing this document, I agree to serve Christ by participting fully in the MAC experience, follow all rules and commit
to pray for MAC.


Signed ________________________________________________ Date ____________________


Return to "Staff Application Forms" page