Camp Schreiber & Club 625 Camp Volunteer Registration

Camp Schreiber & Club 625 Camp Volunteer Registration Form
Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Age*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Name of School*
Grade / Year*

I am available...*

	Monday June 18 - Thursday June 20	Monday June 24 - Thursday June 27	Monday July 1 - Thursday July 3	Monday July 8 - Thursday July 11	Monday July 15 - Thursday July 18
8:45 AM - 1:00 PM
12:45 PM - 3:00 PM
I am unavailable this week

Please select YES/NO*

	YES	NO
I have reliable transportation
I enjoy working with youth of all ages
I am capable of being responsible for youth during activities and games
I am comfortable with youth of all different ability levels

Are you volunteering to fulfill any school, church or other community service obligation?*

YesNo
If yes, what organization?*
Have you volunteered at a Schreiber camp before?*

YesNo
If yes, what year(s) did you volunteer? *
What other activities are you involved in? *
What makes you a great volunteer?*
Where else, if any, have you volunteered in the past? What were you responsibilities? *