The 4 Lessons Superhero Enrichment Camp Volunteer Sign-Up Form

The 4 Lessons Superhero Enrichment Camp Volunteer Sign-Up Form

Thank you for your interest in volunteering with The 4 Lessons Superhero Enrichment Camp. This youth and family enrichment experience helps elementary youth build confidence, character, leadership, creativity, and positive self-belief. Location: Pleasant Hill CME Church, 1201 Pleasant Circle, Conyers, GA 30013. Start Date: Monday, June 15. Program Time: 10:00 AM – 2:00 PM. Ages Served: Elementary Youth, Ages 6–11. Contact: Lyndon Greene, 575-208-4563, info@thepuf.org.
Volunteer Information
Full Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Affiliation

Other
If Other, please list your organization or affiliation
Volunteer Availability
Which day(s) are you available to volunteer?
What time blocks are you available?
Volunteer Role Interest
Which volunteer roles interest you?
Do you have experience working with youth, families, education, ministry, coaching, counseling, special needs, arts, or community programs?
Do you have any special skills you would like to offer?
Safety and Conduct
Are you 18 years of age or older?
Consent
Consent
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
Volunteer Agreement
Electronic Signature
Should be Empty: