iCamp VOLUNTEER Registration Form 2025

iCamp VOLUNTEER Registration Form 2025
Volunteer Information
Volunteer Name*
Gender/sex*
Date of Birth*

MonthDayYear
Age
If YES what is the campers name you will be helping with:camper name
Will a parent or caregiver be accompanying camper?
What days will you attend?
T-Shirt Size*
Please provide any additional information that you think is important or specific activities you are interested in help with in the iCamp program.

Volunteer Information
E-mail*
example@example.com
Cell Phone*
Home Phone*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would you like to be reached?*

Cell PhoneWork PhoneHome Phone
Parent/Guardian if volunteer is under 18 years of age:

First NameLast Name
Relationship to Child
E-mail
example@example.com
Cell Phone
Home Phone
Home Address Same as Volunteer?

Yes
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Work
Or enter N/A if not applicable
Parent/Guardian Work Phone
Where would parent/guardian like to be contacted while Volunteer is at camp?

Cell PhoneWork PhoneHome Phone

Emergency Contacts/Authorized Pickup

List the name of at least one person who can be contacted in the event of an emergency or illness. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Emergency Contact #1
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Secondary Phone Number*
Relationship to Volunteer*
Emergency Contact #2
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Secondary Phone Number*
Relationship to Volunteer*

Payment and Statement of Understanding
The iCAMP (Camp 2:42 Inc) has permission to secure emergency transportation for Volunteer in the event of an illness or injury which requires emergency treatment. The emergency transportation service will determine the facility to which the Volunteer will be transported.*
Type first and last name above to consent
Sign Document*
Date Signed*

MonthDayYear
Camp Director Name and Contact Info
Parent or Court Appointed Legal Guardian if Volunteer is under 18 years of age.blank* (N/A if this doesn't apply)
Should be Empty: