Circle of Friends Volunteer Application (Under 18)

Circle of Friends Volunteer (Under 18)

PB's Friends Inc. / Circle of Friends Camp
This application is used for volunteer screening and placement purposes only. Completion of this application does not guarantee acceptance as a volunteer.
Applicant Full Legal Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Preferred name if different than legal name.
Gender
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload a recent photo of applicant.

Cancelof
T-shirt Size
Which Camp Week will you be attending?
Emergency Contact

First NameLast Name
Relationship
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.

Camp Volunteer Experience
How did you hear about Circle of Friends Camp?
Have you volunteered at Circle of Friends Camp?
What role(s)?
Relevant camp, ministry, care lead, councilor, nurse, etc.
Have you volunteered with other disability-focused camps or programs (day or overnight)?
Please share the name(s) of the camp or program, they type(day or overnight), and what your role involved.
Relevant experience working with individuals with disabilities (camp, ministry, education, caregiving, medical, etc.) This may also include experience as a sibling, parent, other relative, or close friend of an individual with disabilities.

Church Affiliation (if applicable)
Do you currently attend a church?
Church Name
Church Phone (if known)
Pastor / Ministry Leader Name
References
Reference 1 Name

First NameLast Name
Reference 1 Email
example@example.com
Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Name

First NameLast Name
Reference 2 Email
example@example.com
Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 Name

First NameLast Name
Reference 3 Email
example@example.com
Reference 3 Phone
Please enter a valid phone number.Format: (000) 000-0000.

Circle of Friends Camp - Volunteer Agreement & Release
PB's Friends Inc. / Circle of Friends Camp
Hosted at Lost Valley Bible Camp

This agreement must be signed by all approved volunteers prior to serving.
If volunteer is under 18 this agreement must be signed my their parent or legal guardian.
VOLUNTEER STATUS ACKNOWLEDGMENT
I understand that my service with Circle of Friends Camp is strictly voluntary and unpaid. I acknowledge that I am not an employee and am not entitled to wages, benefits, workers’ compensation, or insurance coverage of any kind through PB’s Friends Inc., Circle of Friends Camp, Atlanta Full Gospel Church, or Lost Valley Bible Camp.
Please initial here.
CODE OF CONDUCT & SAFETY EXPECTATIONS
I agree to adhere to all Circle of Friends Camp policies, procedures, and training, including but not limited to:

Maintaining appropriate physical, emotional, and relational boundaries with campers
Following the two-adult rule and supervision requirements at all times
Never being alone with a camper without authorization
Complying with all abuse-prevention, reporting, and safety protocols
Following directions from camp leadership
I understand that violations may result in immediate removal from volunteer service.
Please initial here.
ASSUMPTION OF RISK
I understand that volunteering at Circle of Friends Camp involves inherent risks, including physical activity, environmental exposure, and interaction with individuals who may have medical, developmental, or behavioral challenges. I voluntarily assume all such risks associated with my participation.
Please initial here.
RELEASE, WAIVER & INDEMNIFICATION
To the fullest extent permitted by law, I hereby release, waive, and hold harmless PB’s Friends Inc., Circle of Friends Camp, Atlanta Full Gospel Church, Lost Valley Bible Camp, and their officers, directors, employees, volunteers, agents, and representatives from any and all claims, demands, actions, or causes of action arising out of my participation as a volunteer, except in cases of gross negligence or willful misconduct.
Please initial here.
MEDICAL TREATMENT AUTHORIZATION
In the event of a medical emergency, I authorize Circle of Friends Camp leadership to seek emergency medical treatment on my behalf if I am unable to provide consent.
Please initial here.
MEDIA RELEASE
I grant permission to PB’s Friends Inc., Circle of Friends Camp, and Lost Valley Bible Camp to photograph, video record, or otherwise capture my likeness during camp activities and to use such media for promotional, educational, or ministry purposes in print and digital media, without compensation.
Please initial here.
DISCRETION & TERMINATION CLAUSE
I understand that Circle of Friends Camp reserves the right to deny, suspend, or terminate volunteer participation at any time, with or without cause, for the safety and well-being of campers, staff, and volunteers.
Please initial here.

Applicant Certification
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submission of this application does not guarantee acceptance as a volunteer.
Applicant Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Signature or Parent/Guardian Signature (if applicant is under 18)
Should be Empty:

Circle of Friends Volunteer (Under 18)

Camp Volunteer Experience

Medical & Dietary Information

Church Affiliation (if applicable)

References

Circle of Friends Camp - Volunteer Agreement & Release

Applicant Certification