Adult Volunteer Application and Agreement for Highlander District Day Camp 2020
Adults from Cub Scouting, Boy Scouting and Venturing, and sponsoring church register here to volunteer at Highlander District Day Camp June 15 - 19, 2020 at St Elizabeth Ann Seton Catholic Church, 1000 Andrews Rd, Fayetteville, NC 28311.

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电子邮件地址 *
Under the Sea
First and Last Name *
BSA ID Number (if none, write none) *
I am registered as a leader in the following Scouting Program *
Unit *
Current Scouting Position (parent, den leader, committee member, etc.) *
Youth Protection training date *
Driver's License Number and State *
BSA Annual Health and Medical Record (AHMR) part A & B is required for scouting events 72 hours or less. This form is good for one year.  List the date of your current of your current BSA AHMR part A & B and please turn in a copy of this form to camp with a copy of your insurance card attached. *
First Aid/CPR/AED training date if certified and name of certifying agency (Red Cross, American Heart Association, etc.)
Additional BSA Training
Date of Weather Hazards training.
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Phone Number *
Mailing Address *
T-shirt size - *
Days Available to Volunteer *
All Day 7:30-16:30
Morning only 7:30-12:00
Afternoon only 12:00-16:30
Not Available
Saturday June 13 for set up
Sunday June 14 for set up
Monday June 15
Tuesday June 16
Wednesday June 17
Thursday June 18
Friday June 19
How would you like to volunteer for day camp? *
Please list any medical conditions or physical characteristics camp staff must be aware of: *
Uniform Requirements
1. Staff (Youth and Adult): camp t-shirt, pants and closed toed shoes.
2. Volunteer Adult: name tag,  camp arm band, shirt, pants and closed toe shoes
3. Youth volunteer: camp t-shirt, pants and closed-toe shoes
Note: Camp t shirt is for 5 day volunteers only. Camp will loan you a reflective vest to wear over your own scouting t shirt while volunteering.
Media Release
I hereby assign and grant to Highlander Day Camp, Occoneechee  Council,  and the Boy Scouts of America the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me or my child at all Scouting activities, and I hereby release the Boy Scouts of America, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all liability from such use and publication. I hereby authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said photographs/film/videotapes/electronic representations and/or sound recordings without limitation at the discretion of the Boy Scouts of America, and I specifically waive any right to any compensation I may have for any of the foregoing.
Media Release Agreement *
Occoneechee Council BSA Volunteer Agreement
(To be filled out in conjunction with staff/volunteer application and BSA Medical Form)

Upon signing this Agreement. . .

I understand this a Staff/Volunteer Position offering no monetary compensation.
I believe my attitude toward volunteer work should be professional.
I believe that I have an obligation to my work, to those who direct it, to my colleagues, and to the Cub Scouts.
I will seek to be fair and consistent with the Scouts.
I understand that there will be no abusive language tolerated by anyone at camp.
No smoking is allowed in camp.
I understand alcohol and drug use is strictly forbidden.
I understand that firearms are strictly prohibited (except those approved by the BB range master).
I will not submit the Scouts or staff/volunteers to any form of initiations.
I will be neatly groomed, and wear appropriate clothing. Closed-toed shoes are required, no sandals.
I will follow the guidelines presented in the Day Camp Staff information booklet; and will assist, to the best of my ability, in Day Camp operations.
I will keep confidential matters confidential.
I will promote a pleasant attitude and will strive to see that each scout has a positive Day Camp experience.
I understand that failure to adhere to this agreement could be cause for dismissal by the Day Camp Director.
I will not leave camp without notifying the Camp Director or the Business Director.

To finalize your volunteer registration process, fill out the forms below:
The  information from this form will be used to create an application and agreement form for you to sign.

Please bring a copy of your BSA Health and Medical form part A & B  to camp (no doctor visit needed).
If you need this form go to http://www.scouting.org/filestore/HealthSafety/pdf/680-001_AB.pdf
AND
Volunteers who have taken Youth Protection, please bring a copy of your certificate. You may take the course at http://www.scouting.org/Training/YouthProtection.aspx if you have not already done this easy online course that is required.
If you have any questions, please contact the camp director at daycamp@highlanderdistrict.org or 910-213-6726.
Thank you for volunteering for 2020 Day Camp.
If you have any questions, please contact the camp director at daycamp@highlanderdistrict.org or 910-213-6726.
Please mail BSA Health and Medical Form Parts A & B, Youth Protection Certificate, and First Aid/CPR/AED Training Certificate (if certified) to Brittany Pickard 3229 Northgate Drive, Fayetteville, NC 28311.
or turn in at Round Table OR Parent Orientation Meeting
(dates listed at http://highlanderdistrict.org/program/cub-day-camp/)

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