VOLUNTEER REGISTRATION


Section 1: Volunteer Information
First Name
  Last Name
  Birthdate
  Gender
Male Female
We prefer our volunteers to sign up for the entire week. We strongly encourage this to give the children the benefit of continuity. If circumstances do not permit and you are unable to do so, please select the days they are able to attend: 

Monday, June 24 Tuesday, June 25 Wednesday, June 26 Thursday, June 27 Friday, June 28
 
Volunteers under 18 years: Parent Information and Agreement
Mother's Name
  Father's Name
   Daytime Phone
  Email
I permit my child (named above) to participate in the Friendship Circle summer camp. I hereby give the Friendship Circle staff permission to seek medical assistance for my child, in case of an emergency.
Please type your name as consent
  Photos of my child may be used for publicity purposes
Yes No
             
Volunteers 18 years and Older: Emergency Contact and Agreement
Please provide names and phone numbers for two emergency contacts.
Name
  Phone Number
  Name
  Phone Number
I give my permission to the Friendship Circle to perform a background check on me, as required by law. I hereby give the Friendship Circle permission to provide medical attention on my behalf, in case of an emergency.
Social Security #   Address
Please type your name as consent
  Photos of me may be used for publicity purposes
Yes No
Thank you for volunteering!