CAMP COUNSELORS: Please use the counselor registration form on the Camp Friendship webpage. (www.sblouisiana.org/campfriendship). Thank you for your interest in volunteering with our organization! With your support, Spina Bifida of Louisiana (SBLA) can continue to support and provide programming opportunities to individuals living with spina bifida and their families. Once you fill out this form, someone within our organization will be in touch with you.
Volunteer's Name
*
First Name
Last Name
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Is The Volunteer Under 18 Years of Age?
*
Yes
No
Is The Volunteer Looking To Fulfill Community Service Hours As Required By A School or Organization?
*
Yes
No
If Yes, Please Tell Us The Name of The School or Organization.
Emergency Contact Name
*
Relationship of Contact Person
*
Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Volunteer Signature
*
Legal Guardian Signature
If volunteer is under 18 years of age.
Submit
Should be Empty: