Online Volunteer Registration Form - CHS Adventure Camp July 8th-13th 2018

All infornation in this form is strictly confidential and will only be viewed by our medical personnel and the camp director.

Please fill in all blanks spaces that are marked as important (*) with an N/A if it does not apply to you.

Volunteer's Contact Information
*
*
*
*
Volunteer's Details
*
*
*
*
*
*
*
*
*
*
*
*

Take a moment please

Please take a moment and tell us about yourself. Especially, if you have a special talent or if there is anything that our camp family should know to help make camp more enjoyable for you.

*
*
*
*
*
*
*
*

Please read each description and select below the degree of time you would like to be in each position.

** 1 - not at all, 10 - all the time. **

We are looking for mature and enthusiastic volunteers to assist us at our summer camps. General volunteers spend the whole day at camp assisting in various activities such as swimming, crafts, games, etc. These volunteers will be floaters and will fill in when needed.

*

One2One Volunteers

We are currently looking for volunteers to work in our One2One program. This program is for camp participants that have a disability, behavior issues or require some extra assistance in participating in the activities that our summer program offers. One2One Volunteers assist these special needs participants with being more active in the program and support them as a buddy. .

*

Leadership Volunteers

We are looking for mature and energetic volunteers to work with our older youth in the evening from 8-10:30 pm. This position can be a lot of fun as there will be a great deal of team building activities and outdoor adventure.

*
Volunteer Medical Information
*
*
*
*
*
*
*
*
*
*
*
*
Volunteer Medical Details
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*

Medical Information

Be sure to bring all medications in the orginal bottles labeled with your name to camp, the name of the medicine in the bottle, and directions for giving it. All perscription medications must have the orginal label containing your name on the perscription.

*
*
*
*
*
*
*
















IMPORTANT NOTICE From Nurses

Inorder to enable the camp nurses to provide the best care for you, upon registration the nurses will examine all volunteers for any bruising or signs of bleeding.. This included non-bleeder volunteers and bleeder volunteers.

*

Nurse Notes:

If you have been in contact with anything communicatible (e.g. impetigo, hand/foot/mouth disease), please notify your local clinic prior to camp.

To prevent disappointment to you, we suggest you have your head checked for lice prior to camp. If you fail the registration head check for lice, you WILL NOT be permitted to stay.

Bleeding Disorder Form - Blood Disorder Volunteers ONLY
This form is only to be filled out by a person who is affected with a bleeding disorder.

Please be advised that the bleeding disorder nurses will be using this time at camp to educate you on your bleeding disorder and will encourage you to learn self-infusion if appropriate. If you have any issues learning self infusion at camp please make sure to fill in the bottom of this form with your response.

Each volunteer must bring all supplies and medications that they require at camp and give these to the bleeding disorder nurses on our camp site at registration.

*
Snider Mountain Waiver Form
*
*
*
*

** please sign your name using your mouse.
CHS Consent & Release Form
*
*

** please sign your name using your mouse.
CHS Consent & Release Form
*
*
*

** please sign your name using your mouse.

** please sign your name using your mouse.