Event Volunteer Application

All information provided on this application shall remain in the possession of Trail Ridge Camp and shall remain confidential.

Full Name *

Address *

Address

Street Address Line 2

City State

Zip

Social Security # (required for background checks) *

Birthday *

Primary Phone # *

Best time to reach by phone *

Email Address *

example@example.com

Church Name and City *

Pastor's Name *

Pastor's Phone # *

How long have you attended the above named church? *

Please list which event you would like to volunteer for. *

Why do you want to serve at Trail Ridge for this event? *

Do you have any physical limitations that would hinder you from fulfilling any job requirements or require any special accomodations? *

Do you have any special skills you feel would be useful during this event?

In which area would you like to serve at this event? (housekeeping, kitchen, activites, etc.) *

Emergency Contact Name *

Relation: *

Phone # *

Have you volunteered at Trail Ridge before? *

Yes No

If so, in what capacity?

Have you ever been convicted of a crime? If yes, explain below. *

Yes No

Have you ever been accused or convicted of child abuse or molestation? If yes, explain below. *

Yes No

Explain:

Volunteer Agreement “I, the undersigned, do offer my volunteer services to Trail Ridge Camp of mine own free will, without remuneration, as a service to the Lord Jesus and also to the community.

I agree to support Trail Ridge Camp in their dress and conduct regulations while at camp. I also give permission to use photos, audio and video footage including me in camp publicity. In case of medical emergency, I understand every effort will be made to contact an Emergency Contact provided on this application. In the event they cannot be reached, I hereby give permission to the physician selected by the camp administration to hospitalize and secure proper treatment for and order injection and anesthesia or surgery for me. I hereby hold Trail Ridge Camp harmless for any medical expense incurred for my benefit. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes. I also affirm that the medical information on this form is complete and correct.”

Print Name: *

Signature: *

Clear

Date: *

Date

We will be reviewing your application and running a background check as soon as we receive it. We will inform you of our decision as soon as possible.

Trail Ridge Camp - S2695 Cherith Way, Hillsboro, WI 54634 - 608-489-3810 - info@trailridge.org

Event Volunteer Application

Personal Information