2024 Fall Quarterly Event Sign-Up

2024 Camp L.I.T. Quarterly Event Sign-Up
Fall Event Logistics:

Date: November 16th, 2024
Time: 11 am to 2 pm
Location: Foxhole Paintball & Airsoft 2311 Upham Rd, Junction City, KS 66441

What's Provided: Admission, Food & Drinks

For questions, please call Ginger Vass at (405)593-2449.
Teen or Volunteer?*

TeenVolunteer

Volunteer Signup
Name*

First NameLast Name
Date of Birth: *

MonthDayYear
Date
Sex:*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Name (Optional)

First NameLast Name
Phone Number (Optional)
Please enter a valid phone number.

Teen Signup
Teen's Name:*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Sex*
Parent/Guardian's Name:

First NameLast Name
Parent/Guardian's Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

EMERGENCY CONTACT(S)
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Name (Optional)

First NameLast Name
Phone Number (Optional)
Please enter a valid phone number.
Social Worker Contact Information
Does your teen have a social worker?*

YesNo
Teen's Social Worker's Name*

First NameLast Name
Social Worker's Phone Number*
Please enter a valid phone number.
Social Worker's Email*
example@example.com
Case Manager's Contact Information
Does your teen have a case manager?*

YesNo
Case Manager's Name*

First NameLast Name
Case Manager's Phone Number*
Please enter a valid phone number.
Case Manager's Email*
example@example.com

Volunteer Consent Form
COACHES/STAFF: All Camp L.I.T. volunteers will be interviewed, background checked, and trained before being on staff.

CONFIDENTIALITY: Every teen registered with Camp L.I.T. has the right to confidentiality. Our volunteers are instructed not to take pictures of/with, exchange addresses, phone numbers, e-mail addresses, or social media information with any teen/minor participant Any videos or pictures that are obtained by Camp L.I.T. of any teen/minor participant will be edited by blocking/blurring out faces if used in any promotional medium.

SAFETY/LIABILITY: Safety and every precaution will be taken to protect them from harm. Camp L.I.T. staff is very aware of our responsibility to each teen’s safety, but Camp L.I.T., Inc. is not liable for injuries/death that any teen or volunteer may incur while camping or participating in Camp L.I.T. activities.

PHOTO RELEASE: I grant permission to Camp L.I.T., its agents, and its volunteers the irrevocable and unrestricted right to produce photographs and video taken of myself while attending any Camp L.I.T. activities for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium. I hereby release Camp L.I.T. and its legal representatives from liability for any violation or claims relating to said images or video. Furthermore, I grant permission to use the statements of myself given during an interview or evaluation with or without my name for the purpose of advertising and publicity without restriction to time limit or geographic area. I waive my right to any and all compensation stemming from the use of these materials.

FINANCIAL COMMITMENT: Camp L.I.T. is a nonprofit organization. We operate by volunteer hours and donated funds committed to running this program. If you would like to make a charitable donation to Camp L.I.T. please send it to:

Camp L.I.T.
c/o Ginger Vass
7208 Hackberry Circle
Manhattan, KS 66503

Phone: 405.593.2449

Email: director@camplit.org

*You will receive a charitable contribution receipt to submit with your tax return.
Signature*

Clear
Date*

MonthDayYear
Date
Printed Name:

First NameLast Name

Teen Consent Form
COACHES/STAFF: Every effort will be made to contact the teen’s coach from previous years at Camp L.I.T. so that consistency can be achieved. However, this is not always possible. All Camp L.I.T. volunteers will be interviewed, background checked, and trained before being on staff.

CONFIDENTIALITY: Every teen registered at Camp L.I.T. has the right to confidentiality. Our coaches are instructed not to take pictures of/with, exchange addresses, phone numbers, e-mail addresses, or social media information with any camper. Any videos or pictures that are obtained by Camp L.I.T. of any minor participant will be edited by blocking/blurring out faces if used in any promotional medium.

SAFETY/LIABILITY: Safety and every precaution will be taken to protect them from harm. Camp L.I.T. staff is very aware of our responsibility to each teen’s safety, but Camp L.I.T., Inc. is not liable for injuries/death that any teen or volunteer may incur while camping or participating in Camp L.I.T. activities.

PHOTO RELEASE: Any videos or pictures that are obtained by Camp L.I.T. of any minor participant will be edited by blocking/blurring out faces if used in any promotional medium. I grant permission to Camp L.I.T., its agents, and its volunteers the irrevocable and unrestricted right to produce photographs and video taken of my teen while attending any Camp L.I.T. activities for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium. I hereby release Camp L.I.T. and its legal representatives from liability for any violation or claims relating to said images or video. Furthermore, I grant permission to use the statements of myself given during an interview or evaluation with or without my name for the purpose of advertising and publicity without restriction to time limit or geographic area. I waive my right to any and all compensation stemming from the use of these materials.

FINANCIAL COMMITMENT: Camp L.I.T. is a nonprofit organization. We operate by volunteer hours and donated funds committed to running this program. If you would like to make a charitable donation to Camp L.I.T. please send it to:

Camp L.I.T.
c/o Ginger Vass
7208 Hackberry Circle
Manhattan, KS 66503

Phone: 405.593.2449

Email: director@camplit.org

*You will receive a charitable contribution receipt to submit with your tax return.
Signature*

Clear
Date*

MonthDayYear
Date
Printed Name*

First NameLast Name
Relationship to Teen*

SUBMIT SIGNUP
Should be Empty:

2024 Camp L.I.T. Quarterly Event Sign-Up

Volunteer Signup

Emergency Contact

Teen Signup

EMERGENCY CONTACT(S)

Social Worker Contact Information

Case Manager's Contact Information

Volunteer Consent Form

Teen Consent Form

SUBMIT SIGNUP