Georgia Firefighters Burn Foundation Family Weekend Volunteer Application
Please complete the following information to apply as a volunteer. Eligible volunteers must be age 18 or older by September 25, 2026. All volunteers will be sent a separate background check form to complete along with a required online Abuse Prevention Training. The program is held at Camp Twin Lakes Will-A-Way in Fort Yargo State Park 210 S. Broad Street Winder, GA 30680.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
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The Bahamas
Bahrain
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Botswana
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Brunei
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Chad
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China
Christmas Island
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France
French Polynesia
Gabon
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Iran
Iraq
Ireland
Israel
Italy
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Japan
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Lebanon
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Liberia
Libya
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Malaysia
Maldives
Mali
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Marshall Islands
Martinique
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Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
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Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
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South Ossetia
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Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
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Taiwan
Tajikistan
Tanzania
Thailand
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Vatican City
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
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Other
Country
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
T-Shirt size
*
Please Select
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
Adult 3X-Large
Gender
*
Please Select
Male
Female
Do you have any food allergies and/or dietary restrictions?
*
If not, please put N/A
Do you have any medical conditions and/or medications we would need to know in the event of an emergency?
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Please complete the following questions.
Which days are you available to volunteer?
*
Friday, September 25 - Sunday, September 27
Saturday, September 26 (12PM to 6PM)
Other
Why do you want to work with families/children impacted by burn injuries?
*
Do you have any prior experience working with children? (including prior experience in a camp setting)
*
Have you ever been convicted of a crime?
*
No
Yes
Have you ever physically or sexually abused a child?
*
No
Yes
Has someone ever accused you of abusing a child?
*
No
Yes
Is there any additional information you would like us to know about you?
Emergency Contact Name
*
Please provide a contact in the event of an emergency.
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
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