SOKOL Culture Camp 2024 Volunteer Registration

Sokol Minnesota's Czech and Slovak Cultural Day Camp

ADULT VOLUNTEER/JUNIOR VOLUNTEER REGISTRATION FORM
June 16 to 20, 2025
Adult Volunteer/Junior Camper Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Telephone
Please enter a valid phone number.
Work/Cell*
Please enter a valid phone number.
Adult/Junior Volunteers*

ADULT VOLUNTEER - Yes, I will be a full-time adult volunteer.JUNIOR LEADER - Yes, I would like to be a full time Junior Leader. (Jr. Leaders must be 14-21 years old)
I will volunteer at camp from June 16 - 20, 2025 on the following days:

MondayTuesdayWednesdayThursdayFriday
Name of camper who will attend camp for $85 ($17 per day) with an adult volunteer. Additional children will attend at the regular fee.
- A maximum of 6-8 Junior Leaders will be needed for camp.
- Junior Leaders pay no camp fee but do receive service hours.
- Junior Leaders also must have a camp registration and medical forms completed and signed by parent.

Czech and Slovak Children's Cultural Day Camp 2025

Medical Information
(Required for Campers and Junior Leaders)
Junior Leader's Name*

First NameLast Name
Emergency Contact 1*

First NameLast Name
Emergency Contact Relationship *
Emergency Contact Phone*
Emergency Contact 2*

First NameLast Name
Emergency Contact Relationship *
Emergency Contact Phone*
Attending Physician Name*

First NameLast Name
Attending Physician Phone*
Hospital*
Hospital Phone*
Medical Insurance Company*
Policy #*
Medical conditions that the Sokol Minnesota Cultural Day Camp staff and medical emergency services personnel need to be made aware of include:*
I understand, agree, and acknowledge that some activities may be of a physical and/or strenuous nature. Understanding this, I state to the best of my knowledge that the child(ren) listed in this registration has/have no medical conditions or impairments, including the use of medication, that might inhibit his/her active participation in the Sokol Minnesota Cultural Day Camp.

I understand that I am required to have accidental medical coverage for the child(ren) listed on this registration, and I verify that the information provided on my insurance policy is accurate and true. (Please contact us if your child is not covered by medical insurance to discuss options.)
Type Name(s) of Parents or Guardians

First NameLast Name
Type Name(s) of Parents or Guardians

First NameLast Name
Signature of Parent/Guardian *

Clear
Date*

MonthDayYear
Date

Registration Fee*

Adult Sokol MN Member VolunteerReduced Fee for full 5 day session. One child may attend camp for the reduced fee for each adult who volunteers each day of the session.

$85.00 Quantity

Total

$0.00

Credit Card

Should be Empty:

Sokol Minnesota's Czech and Slovak Cultural Day CampADULT VOLUNTEER/JUNIOR VOLUNTEER REGISTRATION FORMJune 16 to 20, 2025

Czech and Slovak Children's Cultural Day Camp 2025

Medical Information (Required for Campers and Junior Leaders)

Credit Card

Sokol Minnesota's Czech and Slovak Cultural Day Camp

ADULT VOLUNTEER/JUNIOR VOLUNTEER REGISTRATION FORM
June 16 to 20, 2025

Medical Information
(Required for Campers and Junior Leaders)