CAMP TALK-A-LOT

VOLUNTEER INFORMATION

2016

CAMP DATES: JUNE 14, 15,16, 17

                        JUNE 21, 22, 23, 24

 

Name _________________________________________

 

Age __________________      Grade ____________

 

Address ____________________________________

 

Phone ___________________ School______________     

 

Parent's Name

_______________________________________________

 

Emergency Contact Name and Number

________________________________________________

 

Have you ever worked with children? If yes, how?

________________________________________________

 

Have you worked at Camp before? If yes, when?

_________________________________________________

 

Do you have any special talent  that you could share with our group?

 

___________________________________

 

Camp Selection:

(  ) Pre-K & Kindergarten – 8:15am – 1 pm

 

(  ) 1st & 2nd grade 11:15 am – 3:30 pm        

 

 ( ) BOTH

 

Please indicate the dates you can work 

________________________________________________________

I GIVE MY PERMISSION TO:

Attend these sessions and allow Don Mills Achievement Center to use my child’s photograph for publicity purposes in all forms of media.

It is my understanding that precautions will be taken to avoid accidents and that my child/children will be supervised. In event of an accident, THE AGENCY WILL NOT BE DEEMED RESPONSIBLE.

I have read the above policies regarding Camp activities, publicity and insurance procedures, and I am in agreement as stated.

 

Parent Signature

________________________________________________________

Date

_________________________