Registrant Info

Family Physician (Optional)

Insurance Information

Emergency Information

In the event you cannot be reached, with whom may we we consult regarding you in an emergency? You must list a least one emergency contact.

Emergency Contact # 1

Emergency Contact # 2

Counselor in Training Application Questions

Please answer the following questions in the provided comment sections.

Please answer the following in three or four sentences.


We need to contact a few references, such as an elder, a friend, etc. so we can know you a little better. (If you are a part of their fellowship, please specify)

Reference # 1

Reference # 2

MWC staffing priority will be given to those serving with Safe Haven Sustainable Farms' Campus Days and Growing in Torah and/or those who have displayed leadership in Safe Haven Sustainable Farm events such as Sukkot and other events.  

All staffers are asked to pay for their expenses. Safe Haven Sustainable Farms (parent ministry of MWC and GIT) is a non-profit  ministry. Your help in fundraising is welcomed. All staffers are required to follow all rules that campers follow and enforce them.  Additionally, all staff MUST be willing to arrive no later than Sunday morning, August 1st. Ideally, we will meet at Hartland Camp to pray, mingle, plan, etc. around 11 AM.  We can make arrangements for you to come for the weekend and stay with us or with families in our fellowship, depending on space availability.  

Total cost for Counselor in Training will be $415.00 if registered before May 1, 2021, if registering after, the total cost is $440.00. A $25.00 deposit is required and payment in full is due by July 1, 2021.

If you are living with your parents, we believe you should have their support in your desire to serve at Messiah West Coast. This being said, we feel it is important that the parents of applicants give their blessing to their children in being a part of camp, and therefore require the signature of a parent.

I understand what the program requires, including being in Hartland Camp BEFORE camp commences, and am interested in applying for a Counselor in Training position with Messiah West Coast.

Furthermore, I agree to not discuss divisive manners that do not pertain to salvation. For example, food can become an issue. If we eat Biblically clean food, this is what matters, but if one prefers only to eat vegetables, it should not be forced upon others. Likewise, we will not argue over the Name of our Elohim or Messiah, and will welcome Yahweh, Yahovah, Yah, Yeshua, Yashua, etc. and we will not engage in debates on the calendar and will leave this subject up to the camper, their family and fellowship. Our focus will be on loving YAHWEH and each other.

You must download and sign the attached documents: CIT Agreement, Campground Medical Waiver and COVID Release Waiver and upload them before you submit your application.

If you encounter issues with registration please email [email protected]


$25 non-refundable deposit required for registration (total cost is $415 before May 1, 2021, and after is $440. Registration includes 5 nights lodging at Hartland Camp all meals, activities, t-shirt, etc.)

  • (select this option to pay in full, or to make the $25 deposit)

  • Please make checks out to SHSF (Safe Haven Sustainable Farms)
    41781 Road 142, Orosi, CA 93647
    With a memo of "MWC CIT"

Reg Fox by Webconnex
Secure Online Registration Powered by RegFox