• Volunteer Interest Form

  • Background checks are required for all adult volunteers. Be prepared to attach your driver's license or an alternative form of identification and a copy of any current background checks conducted within the past 12 months. Please email admin@artworksrc.org for more information or if you need assistance.

  • Personal Information

  • Are you willing to undergo a background check? (Required for Adults)*

  • Format: (000) 000-0000.
  • More About You

  • Areas of Interest*
  • Which camps are you interested in?*
  • Describe yourself in 3 words:

  • List 3 Skills and/or Experiences:

  • 0/120
  • Availability

  • Days Available*
  • Monday Availability*
  • Tuesday Availability*
  • Wednesday Availability*
  • Thursday Availability*
  • Friday Availability*
  • Saturday Availability*
  • Sunday Availability*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Background Checks & Requirements

  • Do you have a current background check (completed within the past 12 months) from a reputable source that includes national and state criminal history you can provide a copy of?*
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  • How would you like to submit your background check documentation?*
  • Please email a copy of your background check to admin@artworksrc.org

  • A copy of your background check must be dropped off to Kristina at the admin office located at ArtWorks on the Square (310 Monument Square, Jamestown). 

    Drop-off must be scheduled by calling 270-343-2787 or by emailing (preferred) admin@artworksrc.org

  • How would you prefer to initiate your background check?*
  • You will receive an email at the address provided above with instructions and available time options to complete your background check.

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  • Attaching a copy of your ID will allow us to verify your identity and help expedite any relevant background check process.

  • Acknowledgment and Consent

  • As a volunteer for ArtWorks (“Organization”), I agree to comply with all applicable policies, procedures, and guidelines, as may be amended from time to time. I acknowledge that I am participating in volunteer activities at my own risk and that the Organization, including its employees, officers, directors, volunteers, and affiliates, shall not be held liable for any injury, illness, accident, or other health-related issue arising from my volunteer service, except as prohibited by law.

    I understand that volunteer activities may include, but are not limited to, nature-based programming, culinary instruction and food preparation, and arts-based activities involving tools, materials, movement, and group engagement. I acknowledge that these activities involve inherent risks, including minor injuries, allergic reactions, equipment-related incidents, or other unforeseen events. I voluntarily assume all such risks.

    I affirm that I am physically and mentally capable of performing volunteer duties and agree to follow all safety instructions, program rules, and staff directions. I will promptly notify staff of any condition that may affect my ability to participate safely.

    I further acknowledge that my services are provided on a voluntary basis and that participation does not entitle me to compensation, wages, stipends, or other remuneration.

    I grant permission to ArtWorks to capture and use my likeness, voice, or image in photographs, video, or other media for promotional, educational, informational, fundraising, and outreach purposes, including but not limited to print materials, digital platforms, social media, and the Organization’s website, without compensation.

    I authorize ArtWorks to conduct a background check as permitted by law, which may include review of criminal history, sex offender registries, and child abuse and neglect registries, as applicable to volunteer placement requirements.

    I certify that all information provided is true and complete to the best of my knowledge and authorize the Organization to verify such information as needed for volunteer placement.

    To the fullest extent permitted by law, I release and hold harmless ArtWorks and its affiliates from any claims arising out of my volunteer participation, except in cases of gross negligence or willful misconduct.

    This agreement shall be governed by the laws of the Commonwealth of Kentucky.

  • Date*
     - -
  • Minor Volunteer Acknowledgment

  • I understand that volunteer activities with ArtWorks Summer Camps may vary by program and may include, but are not limited to:

    • Nature Camps: nature walks, creek exploration, nature crafts, plant identification, outdoor play, and field games
    • Culinary Camp: age-appropriate cooking and food preparation using kitchen tools and heat sources
    • Arts Immersion Camp: use of art materials, tools, and equipment (including paints, scissors, and clay); hands-on creative activities; movement-based activities such as aerial silks, drama, and dance; music; and team-building games

    I understand that participation in camp activities may involve inherent risks, including but not limited to cuts, bruises, burns, sprains, falls, allergic reactions, equipment-related injuries, emotional stress, or other unexpected incidents or accidents.

    I understand that ArtWorks and its staff will make reasonable efforts to provide a safe environment and appropriate supervision; however, not all risks can be eliminated.

    I agree to follow all camp rules, safety instructions, and staff directions, and to treat fellow participants, volunteers, staff, and property with respect. I understand that unsafe, disruptive, or inappropriate behavior may result in dismissal from volunteer activities.

    I affirm that I am physically able to participate in volunteer activities and will communicate any concerns, injuries, or unsafe conditions to staff immediately.

    I understand that my services are provided on a voluntary basis and that participation does not guarantee compensation, wages, or other remuneration.

  • Date*
     - -
  • Parent / Legal Guardian Consent

  • In consideration of my child’s participation in volunteer activities, programs, training, and events offered by ArtWorks—a nonprofit organization—and its agents, officers, employees, volunteers, instructors, representatives, and affiliated partners (collectively “ArtWorks”), I, the undersigned parent/legal guardian, agree to the following:

    1. Consent for Participation
    I give permission for my child to participate in ArtWorks volunteer activities, programs, instruction, and supervised outings associated with summer camp operations and events. I understand participation is voluntary.

    2. Acknowledgment and Assumption of Risk
    I acknowledge that participation in volunteer and camp-related activities involves inherent risks that may include, but are not limited to:

    • Slips, falls, burns, rope burns, pinches, cuts, bruises, sprains, fractures, concussions, or other injuries
    • Allergic reactions to food, plants, insects, or environmental conditions
    • Emotional or psychological stress
    • Equipment malfunction or human error
    • The actions or inactions of participants, volunteers, or staff
    • Unpredictable accidents or incidents

    I understand that despite reasonable precautions, supervision, and safety procedures, not all risks can be eliminated. I certify that my child is in good health and physically capable of participating, and I voluntarily assume all known and unknown risks on behalf of my child.

    3. Medical Authorization and Emergency Consent
    This authorization remains effective for the duration of my child’s participation in ArtWorks programs unless revoked in writing.

    In the event of illness, injury, or emergency, I authorize ArtWorks staff and representatives to take reasonable action to protect my child’s health and well-being, including:

    • Administering basic first aid
    • Contacting Emergency Medical Services (EMS)
    • Arranging transportation to a hospital or urgent care facility
    • Authorizing licensed medical professionals to provide necessary treatment
    • Sharing relevant medical information with emergency personnel when necessary

    I understand that reasonable efforts will be made to contact me and the listed emergency contact(s) before treatment is administered. If I or my emergency contact(s) cannot be reached, I authorize emergency treatment to proceed.

    I confirm that I have disclosed all relevant medical conditions, allergies, medications, dietary restrictions, behavioral concerns, and special accommodations that may affect my child’s participation. I understand that ArtWorks does not provide medical or accident insurance for participants or volunteers, and I accept responsibility for any related medical expenses.

    4. Behavioral Expectations
    I understand that volunteers are expected to follow all program rules, cooperate with staff, demonstrate appropriate conduct, and contribute to a safe and respectful environment. I understand that unsafe, disruptive, or inappropriate behavior may result in removal from volunteer activities.

    5. Media Release Authorization
    I authorize ArtWorks permission to use photographs, audio, and/or video recordings of my child (volunteer) for fundraising and/or marketing purposes. On occasion, with this permission, the media may be included in promotional material, including videos, websites, photo albums, newsletters, billboards, etc. ArtWorks respects the privacy of its participants and does not allow unauthorized visitors to photograph or video program activities or its participants.

    6. Release of Liability and Indemnification
    To the fullest extent permitted by law, I voluntarily release, waive, discharge, and agree to indemnify and hold harmless ArtWorks, its employees, volunteers, board members, instructors, and affiliated partners from any and all claims, liabilities, damages, or causes of action arising out of or related to my child’s participation in volunteer activities, programs, use of facilities, or equipment, including claims alleging negligence, except in cases of gross negligence or willful misconduct.

    I further agree to indemnify and hold harmless ArtWorks for any attorney’s fees or related costs incurred in enforcing this agreement.

    7. Governing Law
    This agreement shall be governed by and interpreted in accordance with the laws of the Commonwealth of Kentucky.

    8. Parent/Legal Guardian Certification
    I certify that I am the parent or legal guardian of the minor named in this form and that I have the legal authority to provide this consent and authorization on the child’s behalf.

  • Date*
     - -
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