Hope Center Kids Camp 2024 - ADULT VOLUNTEER application

Basic Information

Name

This address will receive a confirmation email

Phone

Birthdate

T-shirt size

Emergency Contact

Name

Phone Number

Additional Information

If over 18, do you understand that to volunteer you must have been attending Hope Center in-person for at least 6 months. Additionally, in compliance with AB506, you must have completed Live Scan fingerprinting (background check) and abuse awareness training for Hope Center. Yes No

In what area are you hoping to volunteer?

Crafts Games Application Station Snacks Tech Stage Crew Leader other

Planning to be a Crew Leader? What age group would you prefer to work with? 1st-3rd graders 4th-6th graders Any grade - Bring it on!

Volunteer Agreement and Media Release

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 have read and agree to all of the above terms, including without limitation to consent for myself to participate in Hope Center Covenant Church kids camp, youth activities, medical treatment consent, and release of liability.

Yes

E-signature

Hope Center Kids Camp 2024 - ADULT VOLUNTEER application

Description

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