ALL CAMP VOLUNTEERS & STAFF MUST COMPLETE THE REQUEST FOR CRIMINAL RECORD CHECK FORM!

Complete the top section containing your name, address, etc.  Your signature and date is required under the ATTENTION YOUTH SERVICE PROVIDERS section. 

Kamp staff will complete the REQUESTING ENTITY section as well as the bottom section, PROCESSING FEE SCHEDULE AND METHOD OF PAYMENT.  Leave these sections blank.

Send forms to Kamp Keirsey,  10002 NW Route J, Amsterdam, MO 64723.

If you have a scanner available,  you may scan and email the form to: Bill Perkins at kkorba@ckt.net.

 
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Scheduled 2021 ORBA Kamps
  • Girls Camp, (4-6 grade) June 20 - June 24, 2021
  • Jr High Youth Camp,(7-8 grade) June 13 - June 17, 2021
  • Children's Overnight Camp (1-3 grade), July 8-9, 2021
  • Boys Camp (4-6 grade) June 27- July 1, 2021
  • Sports Camp (4th-8th grade) July 11- 15, 2021
  • Sr. High Youth Camp - (9th-12th Grade) July 18 - July 22, 2021
  • Day Camp, (4 yr-K) June 12 2021
    – 9:00 AM to 3:00 PM