Middle Tennessee Camp Bluebird Volunteer Application

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2023 Fall Camp, September 22-24

First Name *

Last Name *

Gender *

Address *

City *

State *

Zip *

Primary Phone (example: 615-222-4567) *

Email Address *

Occupation *

Have you, family member or a close friend even been diagnosed with cancer? *

Yes

Please explain your personal experience with a cancer diagnosis. *

Why are you interested in volunteering at Camp Bluebird? *

How did you learn about this volunteer opportunity?

Have you volunteered at Camp Bluebird in the past?

Yes

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If you have not volunteered in the past, indicate your T-shirt size. Otherwise, leave this section blank.

XXL

3XL

Other:

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If this is your first time volunteering at Camp Bluebird, you must attend a training session on Thursday, September 21.

I agree

I am unable to attend the training on Thursday and will contact Myrna Garrett for further instructions.

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I have the following special talents/skills I would like to share with campers:

Arts and Crafts

Music

Dance

Massage

Haircuts

Manicure

Journaling

Exercise/Fitness

Other:

I will arrive at camp on Thursday night in time for dinner at 6pm.

Yes

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As a volunteer, you agree to arrive at camp prior to the time campers arrive on Friday morning and be at camp for all three days. If you are unable to attend all three days, you must contact Myrna Garrett.

I agree

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Name

Date

YYYY

The undersigned hereby transfers and grants to Ascension Saint Thomas the exclusive right to use and authorizes others to use all or any part of my interview/photograph/video in related media such as books, magazines, journals, pamphlets, electronic, news releases, newsletters, and other written and video formats. The undersigned hereby releases Ascension Saint Thomas and its directors, its members, trustees, officers, employees and agents from any and all claims, demands, causes of action and suites, including, but not limited to, claims for invasion of privacy, defamation, breach of contract, or other breach of duty arising out of or in connection with the use of this interview, photograph or video. This authorization will expire at any time I submit a write request to Myrna Garrett.

Name *

Date *

YYYY

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