NIKO Application

1 Getting Started

2 NIKO Objectives

3 Personal Details

4 More About You

5 Medical History

6 Payment

7 What Next?

Dear NIKO Applicant,

NIKO is a Greek word pronounced, nee-ko. It means, to subdue, conquer, overcome, or prevail against.

In a NIKO you learn in the classroom of life by doing instead of simply absorbing dry information. This hands-on experience teaches you to grow in the interdependence of a team. Through the NIKO experiences you will begin to understand more about yourself and the gifts that God has given to you. You will begin to learn what motivates you, as well as your unique style of leadership. A high priority is placed upon teamwork and perseverance. You will be challenged to increase your initiative, creativity, compassion, responsibility, and confidence through serving others.

A NIKO will challenge you to discover your mental, physical, spiritual, and emotional strengths and weaknesses. Your relationship with God and others will be tested and/or proven through this experience and its physical challenges. You will learn to confront issues of leadership and personal identity. You will be required to face and overcome many obstacles that will be encountered in life’s future decisions. During NIKO you will work with other young people towards a common goal. The support and inspiration of friends and compassionate Christian instructors will allow you to push past the limits you may have previously set for yourself, allowing you to draw nearer to God.

How to prepare:
The NIKO is a PHYSICAL program involving a variety of different levels of exercise; participants should be in good physical shape. Listed below are some example exercises that will help you prepare for the NIKO (aerobic sports [running, soccer, etc] are also encouraged). You should start slowly and work your way to a more intense workout as your muscles develop. Please do not bring new hiking boots, unless they are well broken in, as this will cause your feet to develop blisters when hiking. We strongly recommend physical preparation including: Crunchies, Pushups and Pull-ups, Jump Rope, Cardio exercise building up to 1 hour.

Please read through and complete this form carefully. You need to bring all items listed on the packing list that is provided upon registration. Please contact us if you or your parents have any questions regarding the NIKO.

You can call YWAM Mountain Refuge at (250) 352-9926 or email niko@ywammountainrefuge.ca
Completing this application you are agreeing to our Privacy Policy
Please indicate which dates you are interested in*
- August 9th - 12th 2021

No, in all these things we are more than conquerors through Him who loved us.
Romans 8:37

1. Learn how to work creativity, effectively, and safely in a team environment
2. Grow in decision making and problem solving skills
3. Learn how to enjoy and respect the beauty of God’s Creation
4. Take responsibility for your actions and their sequential rewards and consequences
5. Recognize and value yours and other’s strengths and weaknesses
6. Learn the value of encouragement
7. Overcome self-imposed physical, mental, emotional, and spiritual obstacles
8. Learn how to trust God and others
9. Learn how to submit to leaders and also serve others as a leader
10. Enjoy the rewards of reaching goals you thought were unattainable
11. Contentment in a variety of circumstances regardless of momentary discomfort
12. Recognize and value your personal worth as a child of God

Personal Information
Name*
First Last
Email*
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
Phone Number
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Group / Church Affiliation*
Languages Spoken (from first to last)*
Emergency Contact Details
Contact Name*
Contacts relationship to you*
Contacts primary phone number*
Contacts secondary phone number

More about who You are
Do you set aside time to be alone with God every day?*
- Yes
- No
Please descirbe how you 'meet' alone with God?
If you could change something about your relationship with God, what would it be?*
What is your main motive in coming to NIKO?*
Would you consider yourself to be a leader?*
- Yes
- No
Please explain your answer
List three of your strengths*
List three of your weaknesses*
What is your definition of 'team'?*
What is your definition of a 'team player'?*

Medical History
All medical information in confidential and extremely important for your safety
Do you have any of the following Chronic or Recurring Illnesses
Check all that apply
- Asthma
- Diabetes
- Heart Disease
- Epilepsy
- Ear Infection
- Hypertention
- Other
Please explain your other Chronic or Recurring Illness
Do you have any other health conditions?
Check all that apply
- Feminine Complications
- Constipation
- Motion Sickness
- Nosebleeds
- Emotional / Behavioural Issues
- Sickle Cell Anemia
- Hypotension
- Hearing Impaired
- Special Dietary Regime
- Contact Lenses
- Glasses
- Sleep Walking
- Other
Please explain your other health conditions
Do you have any medical condition not mentioned that requires regular medical treatment?*
- Yes
- No
Please explain your medical condition
Date of last health examination
Are you in Good Health?*
- Yes
- No
Are you taking any medications or supplements? Either prescription or over the counter?*
- Yes
- No
Please list name, dose and frequency of all medications
Have you ever been exposed to or do you carry any contagious diseases or infections?*
- Yes
- No
Please explain your contagious disease or infection
Please list all your allergies
Specify what your reaction is, any medications and/or procedures you use to deal with it. Include allergies to food, insects, medications and other.
Do you carry an Epi-Pen?
If you have a severe allergic reaction that requires you to carry an epinephrine pen, you must have it with you at all times and inform the staff. You will not be allowed to participate without it
- Yes
- No
Briefy describe your fitness / activity level
Can you swim?*
- Yes
- No
Please comment on any other areas of your medical well-being that we should be aware of

Please specify how you will be paying the $220 fee*
- Cash
- Cheque
Payment via Paypal

Please click on the following link to pay via Paypal.
Pay via Paypal
Payment via Cash

Please bring the correct amount of cash with you to pay before joining the NIKO camp.
Payment via Cheque

Please make a cheque out to YWAM Mountain Refuge with the note "NIKO Fee" and send to:

810 Tenth Street
Nelson, BC
V1L 6Z3

Please click Submit once you have downloaded the release forms and packing list.

Release Forms
Please download, print and sign the medical release, acknowledgement of risk, and participant agreement or parental agreement if the applicant is under 18. If possible scan them and email to niko@ywammountainrefuge.ca otherwise bring for the first day of NIKO.

Packing List
All campers are responsible to bring all items on the list. Bring only items on this list. If you bring additional items without permission, they will be confiscated, and not returned to you until the end of NIKO.

We are looking forward to having you involved in this upcoming NIKO.
By submitting this form you are agreeing to our Privacy Policy

Return to NIKO Page

NIKO Application

Personal Information

Emergency Contact Details

More about who You are

Medical History