Winter Camp Application 2024- Volunteer

Pick your volunteer division:

Division A - GirlsDivision B - Boys

Bs"d

Dear Volunteer,

Important:

If you have not already attended an introductory FCLA orientation, our next one is Nov 21st, and the last one before camp is on Dec 12th from 8:00-9:00pm. Please contact our office at (310)280-0955 or e-mail liam@fcla.org to RSVP.

A few points on Winter Camp:

Volunteer arrival time during camp is at 9:00 am. We serve a light breakfast and review the schedule and important details for the day.
Delicious kosher lunches and snacks will be provided for our volunteers each day!
Dress comfortably.
You will receive a camp T‐shirt at the Volunteer Workshop. It is important that you wear it every day.
Girls' Volunteer Workshop is mandatory on Sunday, December 22, 2024 at 1952 S. Robertson Blvd from 10:00am‐12:00pm.
Community service hours need to be entered on our website, fcla.org. Each day of Winter Camp is 6 points towards the award. The camp workshop is an additional 5 points.

If you need to reach Racheli feel free to call or text their cells.

Racheli's cell: 424-274-9192

Winter Break has never been so meaningful! Thank you for signing up to make a difference in the life of a child with special needs!

Bs"d

Dear Volunteer,

Important:

If you have not already attended an introductory FCLA orientation, our next one is Nov 21st, and the last one before camp is on Dec 12th from 8:00-9:00pm. Please contact our office at (310)280-0955 or e-mail liam@fcla.org to RSVP.

A few points on Winter Camp:

Volunteer arrival time during camp is at 9:00 am. We serve a light breakfast and review the schedule and important details for the day.

Delicious kosher lunches and snacks will be provided for our volunteers each day!

Dress comfortably.

You will receive a camp T‐shirt at the Volunteer Workshop. It is important that you wear it every day.

Boys' Volunteer Workshop is mandatory on Sunday, December 22, 2024 at 1952 S. Robertson Blvd from 10:30am‐12:30pm.

Community service hours need to be entered on our website, fcla.org. Each day of Winter Camp is 6 points towards the award. The camp workshop is an additional 5 points.

If you need to reach Racheli or Rabbi Michy, feel free to call or text their cells.

Racheli's cell: 424-274-9192

Rabbi Michy's cell: 323‐841‐6756

Winter Break has never been so meaningful! Thank you for signing up to make a difference in the life of a child with special needs!

Volunteer's Name*

First NameLast Name

Volunteer's Cell Number*

Area CodePhone Number

Best Contact E-mail*

example@example.com

Volunteer's Birthday*

Date

Volunteer's Age*

Volunteer's Grade*

Mother's Name*

Mother's Cell Number*

Father's Name*

Father's Cell Number*

Please provide the two best phone numbers for an emergency or other necessary contacts in the event that a parent is not available.*

	Name	Relationship	Cell Number
Emergency Contact #1
Emergency Contact #2

Are you a new or returning volunteer?*

New VolunteerReturning Volunteer

Are you 18 or older?*

I am the parent of a volunteer under 18I am 18 or older

I permit my child, {volunteersName} to participate in the Friendship Circle Winter Camp.

I hereby give the Friendship Circle staff permission to seek medical attention
for my child, {volunteersName}, in the case of an emergency.

I permit my child’s photos to be used for publicity purposes.

Agreement: Parent/Guardian Signature*

I, {volunteersName} permit my photos to be used for publicity purposes.

I, {volunteersName} give permission to the Friendship Circle of Los Angeles to provide medical attention on my behalf in the case of an emergency.

18 and Older Waiver: Volunteer Signature*

I'm excited to spend a FULL 2 weeks volunteering at the most awesome winter camp!*

YesUnfortunately, I can't.

Volunteers signing up for the full 2 weeks of camp will have FIRST preference. We ask that you pick at least 1 full week. We strongly encourage this to give the children the benefit of consistency & continuity. If you are only able to volunteer for a few days we will put you on a list as a back up.

YOU'RE AWESOME!!!

I wish to attend Winter Camp on:*

Week 1 Dec 23-27 (no camp on Wed)Week 2 Dec 30-Jan 3 (no camp on Wed)

Any important information you would like to share with us.

Choose a T-shirt size.*

The size is not guaranteed if we receive your application after the order is placed.

GET AIR WAIVER

This waiver must be filled out to attend this trip.

Click here for Get Air Waiver.

KIDS EMPIRE WAIVER

This waiver must be filled out to attend this trip.

Click here for Kids Empire Waiver.

I completed the waivers and fowarded the e-mail confirmation to waivers@fcla.org?*

YesNo, I will not be attending.

Sponsorships

Sponsor a camper for 2 full weeks ($2,000)Sponsor a camper for a week ($1,000)Sponsor a camper for a day ($250)Other

Other Donation

Make a donation to our camp

Calculation

Total

USDDescription

Credit Card for Donation

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Volunteer Information

Agreement

Agreement

Attendance & T-Shirts

Volunteers signing up for the full 2 weeks of camp will have FIRST preference. We ask that you pick at least 1 full week. We strongly encourage this to give the children the benefit of consistency & continuity. If you are only able to volunteer for a few days we will put you on a list as a back up.

Trip Waivers

Give the gift of camp by sponsoring a child.

Looking forward to an awesome Winter Camp!