Hope Center Kids Camp 2024 - YOUTH VOLUNTEER application

Basic Information

Youth Volunteer Name

This address will receive a confirmation email

Phone

Birthdate

T-shirt size

Parent/Guardian Contact

Parent/Guardian Name

Parent/Guardian phone number (if under 18)

Parent/Guardian email (if under 18)

Grade you are entering in the fall (if applicable)

School

Volunteer Agreement and Media Release - Parent/Guardian Signature Required

MEDIA RELEASE: I, the undersigned, do hereby consent and agree that Hope Center Covenant Church, its employees, volunteers, and agents have the right to take photographs, videotape, or digital recordings of me and/or my minor child/children and to use them on the Hope Center website, exclusively for the purpose of showing real people on their website. I do hereby release to Hope Center Covenant Church, its employees, volunteers, and agents all rights to exhibit this work in print and electronic form publicly or privately. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in the Hope Center website. I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback. I also understand that Hope Center Covenant Church, its employees, volunteers, and agents are not responsible for any expense or liability incurred, including medical expenses due to any sickness or injury incurred, as a result of my participation in a recording.

Yes No

LIABILITY RELEASE: I, the undersigned, certify that I am the parent / legal guardian of above named Student (Camper), a minor, and that the Student is in good physical condition and able to participate in all activities for young people sponsored by Hope Center Covenant Church (the “Church”). I consent to the participation of the Student in any activity for young people sponsored by the Church in which the Student elects to participate (“Permitted Activities”). In case of physical injury, illness or medical emergency of Student, I ask that you, the Church representatives, make reasonable attempts to contact me; however, if I cannot be reached, I authorize you to contact our family physician if he / she can be reached, and to take whatever measures are necessary to ensure the safety of the Student. This authorization and consent authorizes physicians, dentists and staff duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licenses, technicians or nurses to render the diagnosis, treatment or care they deem advisable for the Student in the exercise of their best professional judgment. I understand that every reasonable attempt to contact me will be made before providing diagnosis, treatment or care, time and conditions permitting, but that diagnosis, treatment or care may be provided in an emergency without my consent.

I / We have read and agree to all of the above terms, including without limitation to consent for my / our child, the above Student, to participate in Hope Center Covenant Church youth activities, medical treatment consent, and release of liability.

Yes

E-signature (parent signature if under 18)

Application

Planning to be a Crew Leader? What age group would you prefer to work with? K-3rd graders 4th-6th graders Any grade - Bring it on!

Do you attend Hope Center?

Yes No

If you do not attend Hope Center, do you attend a different church? If so, which church?

Hope Center Kids Camp 2024 - YOUTH VOLUNTEER application

Description

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