All Abilities Drama Camp Volunteer
Registration
Your
Name:_____________________ Age:_______
Guardian/ Parent
Name (if a youth):___________________________
Home phone
number:__________ Cell phone number:________________
Address:___________________________
email:__________________
City______
State:_____ Zip Code:______
Please circle
T-shirt Size: Adult S M L XL
***If your child is also attending camp, because you’re volunteering, we are waiving your
child’s registration fee. However, we do ask for you to pay for your child’s
t-shirt at $10. We also need to you fill out a registration form and emergency
contact form for you child.
So we can best fit your needs, do you have any
special talents in drama or putting on plays:________________________________________________________
______________________________________________________________
Do you have any background in working with
children with special needs? If so, please
explain:__________________________________________________
_____________________________________________________________
Please
mail or email registration and your emergency contact form by May 15th
to:
St.
Elizabeth Ann Seton Church,
1730
Summerhill Drive,
Lexington, KY 40515
859-273-1318 extension
278
We will be sending out a letter or email with information
about a volunteer training being held on June 13th, Thursday, from 5
to 6 p.m. at Seton Catholic School and more specifics about the camp
Volunteer Emergency Card
All Abilities Drama Camp 2013
Name:____________________________ Birth date:_____________ Age:_______
Address of Volunteer:_____________________________________________________
Name of Guardians (if
applicable):___________________________________________
Home phone:____________________ Cell phone
1:___________________________
Cell phone 2 (if applicable):______________________ email:_____________________
Doctor to call:_____________________ Phone:____________
Other Emergency Contacts:
Name:___________________ Phone number:___________________
Name:___________________ Phone number:____________________
List any serious illness/ condition that might require
emergency care: (example: diabetes, epilepsy, heart disease, bee stings,
etc.):________________________________________
_______________________________________________________________________
List any allergy to drugs or Anesthetics:_______________________________________
Realizing that sudden illness or an accident may happen to a
volunteer, I hereby ask the authorities to use their best judgment in such
cases in caring for me (or my child).
It is understood that an earnest effort will be made to
contact parents or spouses. If unable to notify parents or spouses and the
situation needs immediate attention, the authorities have my permission to take
me or my child to a physician’s office or to a hospital. Ambulance services may
also be provided.
I further understand that the camp is not responsible for
any expense incurred.
The hospital and physician have permission to give me or my
child whatever emergency treatment is required until able to contact spouse or
parent.
My signature also authorizes the following people to pick my
child up from camp if I am not able to:
Name:_______________________________ Name:_____________________
Name:_______________________________ Name:_____________________
Volunteer or Guardian
Signature:____________________________Date:__________