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Volunteer/Presenter Registration Form

Full Life Ahead Foundation of Hope
Volunteer/Presenter Registration Form for Camp

Name:

How do you want your name to appear on your namebadge?

Email:

Address:

City:

State:

Zip:

County:

Home Phone:

Cell Phone:

Work:

Emergency Contact(s):

Age:

Gender:	Male Female

Referred by/How You Heard About Us:

I am volunteering for:

I agree not to smoke on the camp grounds:

Yes No

Date

Your interest in individuals who have a disAbility:

Do you have a disAbility?

Yes No

Do you use a manual or power wheelchair?

Manual Power

Service provider or a teacher for individuals with disAbilities?

Yes No

Agency or school name:

Special Talents:

Past experience:

Allergies:

Medications:

Special Diets
(diets will be provided
by parents):

Other Medical Considerations:

Areas of interest:

Children
Teens
Singles
Parents
Lead Programs

Crafts
Outdoor Activities
Kitchen Clean-Up
Serve Meals
Support Help
Kitchen Prep

Roommate Preference:

I will be available at the conclusion of camp on Sunday afternoon from 12pm to 4pm to help Full Life Ahead personnel load supplies and pack for transfer.

Yes No

Please let us know if you will be eating the following meals on Thursday and Sunday:

Dinner Thursday

Breakfast Sunday

By submitting this registration I understand that due to recent revisions in safety and security toys such as bicycles, tricycles, big wheels, skates, skateboards, razors, etc. will no longer be permitted at Children's Harbor. All children of volunteers and/or presenters will be required to participate full time in a regularly planned age-appropriate group activities. No child under 18 years of age may be unattneded at any time. Thank you!

Registration deadline for volunteer counselors for the Winter 2012 camp is January 15, 2012. Applications re-ceived after this date will be considered as needed for this session and for future camp sessions.

ACCEPTANCE OF YOUR APPLICATION IS CONTINGENT UPON YOUR PASSING A BACKGROUND CHECK.

WE WILL HOLD TWO TRAININGS PRIOR TO CAMP; ATTENDANCE AT ONE IS MANDATORY.

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Volunteer/Presenter Registration Form

Full Life Ahead Foundation of Hope Volunteer/Presenter Registration Form for Camp

Full Life Ahead Foundation of Hope
Volunteer/Presenter Registration Form for Camp