Peace Camp 2023 Volunteer Application

Interested in volunteering for Peace Camp 2023? You've come to the right place. Sign-up and you will be contacted regarding training and volunteer opportunities.

Date: July 24-28, 2023

Time: 5:30 p.m. - 8:00 p.m.

Location: La Verne Church of the Brethren, 2425 E Street, La Verne, Ca, 91750

Phone: (909) 593-1364
Part I: Application
Volunteer Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Areas of Interest - Select all that apply:*

Small Group Volunteer (most needed spot, takes place daily)Registration Volunteer (Monday only)Craft VolunteerSet-up/Tear DownTie-Dye Volunteer (needed Tuesday & Wednesday during the day)Large Group Activity Leader (responsible for large group leading ie gardening, physical activity, etc.)Just put me where you need me!
Part III: Photographic Consent
The undersigned does hereby authorize the La Verne Church of the Brethren to photograph/film (type your name):
The undersigned authorizes La Verne CoB to permit the use and display of said photographs in any publication, multimedia production, display, advertisement or WWW publication. The undersigned releases and forever discharges the LVCOB, its agents, trustees and employees from any and all claims and demands arising out of or in connection with the use of said images, including, but not limited to, any claims for invasion of privacy or defamation.
Electronic Signature
Part III: ER Medical Information
Name of Emergency Contact *

First NameLast Name
Emergency Contact Phone Number *

Area CodePhone Number
Health Insurance Provider and Policy Number*
Are you allergic to any medications?*
I'm planning to attend the Volunteer Peace Camp Training on Sunday, July 9 at 10:30 a.m.*

YesNo, I will schedule a one-on-one with Brittany Allison or Amanda Bennett for training.
Should be Empty:

Part I: Application

Part III: Photographic Consent

Part III: ER Medical Information