| NSCD Sports Camp Volunteer Form |
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| Contact
Information: |
| Volunteer First Name:
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* |
| Volunteert Last Name: |
* |
| Address: |
* |
| Address 2: |
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| City: |
* |
| State: |
* |
| Zip Code: |
* |
| Day Phone: |
* |
| Evening
Phone: |
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| Fax: |
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| Email
Address: |
* |
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| Emergency Contact: |
* |
| Emergency
Contact Phone: |
*
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| Shoe Size: |
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| Short Size: |
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| T-shirt
Size: |
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Volunteer
Information: |
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Have you ever volunteered for the NSCD?
Please check all
that apply.
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Winter Programs |
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Summer Programs |
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Sports Camp |
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Events |
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Fundraising |
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What specialized skills, training or experience do you have that you could apply to helping with Sports Camps?
Please check all that apply. |
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I work at an agency/organization
providing services to individuals with disabilities. |
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I have volunteered for a program
for individuals with disabilities. |
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I have taught introductory
sports lessons. |
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I have a disability, or am
related to someone who does. |
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Other:
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| How did you learn about the opportunity to volunteer at a Sports Camp? |
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I am an NSCD volunteer for
other programs |
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Through NSCD written marketing
materials |
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Through another service agency |
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Through a participant |
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Other:
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| If you are representing a
civic/community group, please list group's name: |
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| Identification
Verification: |
| The NSCD requires all volunteers to bring a driver's license to the Sports Camp to verify identification. |
| Driver's License Number:
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* |
| Date of Birth:
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*
All volunteers must be at least 18
years old. |
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| Signature: |
| By checking the boxs below,
I agree that: * |
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I have never been charged
with or convicted of any felony, child abuse or unlawful
sexual offense. |
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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. |
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In the course of volunteering
for NSCD, I may be dealing with confidential information,
which I agree to keep private. |
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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. |
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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. |
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| Volunteer Signature: |
* |
| Date: |
* |
| By checking this box, this will act as your digital signature. |
I agree
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| Yes, I would like to receive email communications from NSCD. |
Yes
No |
| Please print this page
out and bring it to the camp with you. |
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