National Sports Center for the Disabled - outdoor recreation opportunities for individuals with disabilities

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• Volunteer Sign-Up

soccer camp participant kicking soccer ball

AbilityCAMP Volunteer Form

Contact Information:

Volunteer First Name:

Volunteert Last Name:

Address:

Address 2:

City:

State:

Zip Code:

Day Phone:

Evening Phone:

Fax:

Email Address:

Emergency Contact:

Emergency Contact Phone:

Shoe Size:

Short Size:

T-shirt Size:

AbilityCAMP Volunteering For: *

Please Enter The AbilityCAMP You Are Volunteering For:

Volunteer Information:

Have you ever volunteered for the NSCD?
Please check all that apply.

Winter Programs

Summer Programs

AbilityCAMP

Events

Fundraising

What specialized skills, training or experience do you have that you could apply to helping with AbilityCAMPs?
Please check all that apply.

I work at an agency/organization providing services to individuals with disabilities.

I have volunteered for a program for individuals with disabilities.

I have taught introductory sports lessons.

I have a disability, or am related to someone who does.

Other:

How did you learn about the opportunity to volunteer at an AbilityCAMP?

I am an NSCD volunteer for other programs

Through NSCD written marketing materials

Through another service agency

Through a participant

Other:

If you are representing a civic/community group, please list group's name:

Identification Verification:

The NSCD requires all volunteers to bring a driver's license to the AbilityCAMP to verify identification.

Driver's License Number:

Date of Birth:

*
All volunteers must be at least 18 years old.

Signature:

By checking the boxs below, I agree that: *

I have never been charged with or convicted of any felony, child abuse or unlawful sexual offense.

The information that I have provided is true to the best of my knowledge. I understand that any of the information above may be verified.

In the course of volunteering for NSCD, I may be dealing with confidential information, which I agree to keep private.

The relationship between the NSCD and volunteers is an "at will" agreement. I may be terminated at any time without cause by either the volunteer or NSCD.

I grant NSCD the permission to use my likeness, voice and words in any form that the NSCD would like to use to promote its activities.

Volunteer Signature:

Date:

Sign Here:

__________________________

Please print this page out and bring it to the camp with you.

P.O. Box 1290, Winter Park, Colorado 80482 USA phone: 970.726.1540 or 303.316.1540 Fax 970.726.4112
Denver Office: 633 17th Street, #24, Denver, CO 80202 phone: 303.293.5711 Fax 303.293.5448 Email: info@nscd.org

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