iCan! Bike Medical Volunteer Registration
Thank you for volunteering for iCan! Bike presented by the Down Syndrome Foundation of Florida.  We are pleased to bring this program to our community and would like to thank you in advance for your contribution.  

Due to requirements at the Orange County Convention Center, we need a medical professional on site throughout camp. Qualified volunteers will be licensed in one of the following professions: EMT, nurse, paramedic, or athletic trainer. Please select your availability in the form below.

When:  June 27 - July 2, 2021
Where:  Orange County Convention Center

Please complete the Volunteer Application below.  If you have any questions, contact Camille Gardiner at camille.gardiner@dsfflorida.org.
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Personal Information
Volunteer First Name: *
Last Name: *
T-shirt Size *
Date of Birth: *
Gender: *
Email Address: *
Phone Number *
Street Address 1: *
Street Address 2:
City: *
State: *
Zip: *
Emergency Contact Name: *
Relationship: *
Emergency Contact Number: *
Medical Volunteers must be licensed in one of the following professions, please select yours below: *
Please select your availability. *
Select all that apply.  
Required
Additional Information:
How did you learn about iCan! bike camp?
Do you have experience working with individuals with unique abilities?
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If yes, please explain.
PHOTOGRAPH AND/OR VIDEO RELEASE
I give permission for the above to be photographed and/or videotaped in print or electronic media by Down Syndrome Foundation of Florida or third parties acting on behalf of Down Syndrome Foundation of Florida. I acknowledge and agree that photographs and videos may be edited and used in whole or in part as desired for the purpose, which may be produced, duplicated, distributed and used for informational, promotional or other public purposes. I understand that photographs and video are not my property and there will be no compensation to me. I understand and authorize the use in writing or otherwise the name or identity of the above.
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