Volunteer Application 2025

The Texas Chargers Volunteer Application
When completeting this form, please be as detailed as possible so we can best place you based on your interest, abilites and previous experience.

Lunch and a T-shirt will be provided. Wear shorts and tennis shoes (or similar clothing) and come prepared to have fun!
Contact Information
Name

Last NameMiddle NameFirst Name
University/School
Group/Organization
Email
example@example.com
Primary Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Drivers License Number*
Date of Birth *
T-Shirt Size

Adult SmallAdult MediumAdult LargeAdult Extra LargeAdult 2XAdult 3X

Background
Have you ever been arrested or charged with any crime of moral turpitude or any Class B Misdemeanor or greater? If so, please explain.

Availability

Orientation session will begin at 8am Saturday. Friday volunteers arrive at 3pm.
During which hours are you available for volunteer assignments?

Friday EveningSaturday All Day 7:45am-5pmSaturday Evening 6pm-9pmSunday

Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Please note foreign languages, (including Sign Language) abilities. Please let us know if you have any medical training or other experience as well.
Previous Volunteer Experience
Summarize your previous volunteer experience. If you volunteered for us in the past with a certain family and would like to do so again, or if you would like a new position, please indicate this as well.
Other Information
Include any other information that you think we should know about you, so that we can best place you with the appropriate activity/child.
Do you have any dietary restrictions, if so, please explain?
We host a silent auction Saturday and really count on the extra funds to support the Texas Chargers Retreat. We encourage all to bring donations and ask business and other families and friends to donate something for the auction. It can be big like a vacation home for a week or small examples would be jewelry, toys, clothing etc. All we ask is when you arrive you bring your items to the registration table and fill out a form with a starting bid. Thank you so much for considering participating in the silent auction.
Will you be bringing a donation for the silent auction?
I will be bringing:

References
Reference One

First NameLast Name
Email
example@example.com
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Years Known
Reference Two

First NameLast Name
Email
example@example.com
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Years Known

Person to Notify in Case of Emergency
Name

First NameLast Name
Relationship
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com

Background Check Authorization and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, ommissions, or other misreperesentations made by me on this application may result in my immediate dismissal.

It is the policy of this orginization to provide equal opportunity without reguard to race, color religion, national orgin, gender, sexual preference, age, or disability.

I hereby authorize The Texas Chargers, Inc. or it's authorized representative(s) bearing this release, to obtain and release any information pertaining to my criminal/residential/employement backgroud, for the purpose of investigating the appropriateness of my voluntary services with The Texas Chargers, Inc. I hereby release, indemnify, discharge The Texas Chargers, Inc. and any third party providing information in response to this authorization from any and all claims, liablilities, and/or damages arising out of/or related in any way to the acquisition or release of information pursuant to this authorization.

If I submit this application in a manner that does not allow my signature to be captured, I agree that submitting this application consititutes permission to perform the background checks required of all volunteers and will provide a signature on or before the event.
I herby give The Texas Chargers, Inc. the right to photograph, video tape, and sound recorded the acts, appearances, utterances of me/my son/my daughter/my ward/or any member in connection there with and without limits as to time, to produce and reproduce the same or any purpose which, The Texas Chargers, Inc. deem proper in the interest if internet, newspapers, television media, brochures, pamphlets, instructional material, books and clinical material, medical education, knoweldge, or research. All such photographs, teletapes, films and sound recordings shall be the exclusive property of The Texas Chargers, Inc. and I hereby relinquish all rights, title and interests therein.

With respect to the foregoing matters, no inducements or permissions have been made to us/me to secure our/my signature(s) to release other than interntion of The Texas Chargers, Inc. to use or cause to be used such as photographs, films and pictures for primary purposes of promoting and aiding The Texas Chargers, Inc. and its works. (its works include but not limited to providing photographs, films, pictures, or recordings to grant funders or other marketing needs)

Further, I understand and agree that photos, videos tapes, or recordings of any nature maybe used by the Texas School for the Blind and Visually Impaired for creating marketing materials and other needs as deemed appropriate by the Texas Charge Board Directors.
This is to release and indemnify The Texas Chargers, Inc. from any liability to any party during your stay at Camp Allen. The Texas Chargers, Inc. requirements is that you/your family, guests, attendants, or any other person for whom you are acting as guardian or represenative, will assume full responosibility for anyone brought onto the premises for any damage or injury of any nature whatever that may incur to themselves, property, and Camp Allen property while on premises, and that you assume that your insurance coverage will extend to any such injury or damage.
All Blind Children of Texas (ABCTX) supports programs for students with visual impairments that have been designed and implemented by a Teacher of Students with Visual Impairments (TSVI) or Certified Orientation & Mobility Specialist(COMS), working with the student. ABCTX wishes to publish photos, recordings, or videos of these activities on the organization’s website.I hereby authorize All Blind Children of Texas to publish the photographs, audio or video recordings taken of my child for use in printed publications and on our official website (http://www.abctx.org/).
Thank you

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Daycare Age 0-3
Age 4-6
Age 7-10
Age 11-Up

	Not Interested	Somewhat Interested	Very Interested
Daycare Age 0-3
Age 4-6
Age 7-10
Age 11-Up

	Not Interested	Somewhat Interested	Very Interested
Registration
Set up/Clean up
Day Activities (Moon Bounce)
Evening Activities (Friday Night Movie/Saturday Night Party)

The Texas Chargers Volunteer Application

Contact Information

Background

Availability

Interests

Special Skills or Qualifications

Previous Volunteer Experience

Other Information

References

Person to Notify in Case of Emergency

Background Check Authorization and Signature