Family Camp Volunteer Registration
2026
Name
*
First Name
Last Name
Email
*
example@example.com
Birthdate
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
*
Emergency Contact Phone Number
*
Insurance Information (Company, Group & ID Numbers)
*
Allergies/Reactions
*
Dietary Restrictions
*
Medications
*
List any experience (if any) you have working with people affected by disability
*
What are you most excited about serving at Embrace Family Camp?
*
What is your biggest fear or concern in coming to Embrace Family Camp?
*
How will you be getting to camp?
*
Please Select
Driving Self
I've arranged a ride to camp
I need help finding a ride to camp
Tshirt Size
*
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Other
Other Shirt Size if needed
Submit
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