Camelot for Children Volunteer Application

Thank you for your interest in volunteering at Camelot for Children.  Please complete this application and  be sure to page down to the end to submit it.  

If you are 18 years of age or above, three (3) free clearances are required. Links for these can be accessed on our website Click to access clearances Please email clearances to lisag@camelotforchildren.org or mail a copy of them to Camelot for Children, 2354 W. Emmaus Ave., Allentown PA 18103.

Once your application is reviewed, you will receive an email with a volunteer waiver that must be printed and signed by you if 18 and over or by a parent or guardian if under 18. You can also obtain a copy and sign it on your first day of volunteering.  The email will also tell you to look for invitations via email to upcoming volunteer events.  When received, you sign up to attend events.  If you would like to organize a group volunteering event where not everyone will need to fill out an application for a one time event, want to do a volunteer project, or have questions, please contact us @ 610-791-5683
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First Name *
Last Name *
Birthdate
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Address Street *
City *
State *
Zip Code *
County where you live
Email *
Home Phone number
Cell Phone number
School District
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School
T-Shirt Size *
Race / Ethnicity
If teen under 18, Parent/Guardian #1 First Name
If teen under 18, Parent/Guardian #1 Last Name
If teen under 18, Parent/Guardian #1 Phone
If teen under 18, Parent/Guardian #1 Email
If teen under 18, Parent/Guardian #2 First Name
If teen under 18, Parent/Guardian #2 Last Name
If teen under 18, Parent/Guardian #2 Phone
If teen under 18, Parent/Guardian #2 Email
Emergency Contact(s) other than parents/guardians Please list name(s) and a phone number for each
How did you hear about Camelot *
Why are you interested in volunteering? *
What are your skills, hobbies, activities, interest? *
Are you First Aid certified? *
Are you CPR certified? *
Do you have any other special training? (lifeguard, babysitting, food safety)
What activities would you be most interested in doing when volunteering? *
I have reviewed the Volunteer Manual located on our website Link to Volunteer Manual *
Are there any medical conditions or disabilities you want us to be aware of? *
Please share details regarding your medical condition or disability that you would like us to share
If you are 18 or older, you must have three clearances. 1- PA Criminal History 2 - PA Child Abuse 3 - FBI Fingerprint or Disclosure Statement.  Please enter the dates you got each clearance below.  If you have lived in PA for more than 10 years, you can sign a disclosure statement; otherwise, you need FBI Fingerprints.  Link for Clearances
PA Criminal Record Check "Date of Request"
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PA Child Abuse History Certification "Verification Date"
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Date Signed Disclosure Statement
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Federal Criminal History Background Check (FBI Fingerprint) Date
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Will you require administration of prescription medication(s) by our staff during volunteering?  If under 18 y.o., a medication form is required to be signed by a parent/guardian and a healthcare provider (HCP). Medication must be stored securely to prevent accidental access by the children.  
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If under 18, and will require a prescription medicine during volunteering, we must have a form complete and sign by a parent/guardian and a HCP.   Please email me a Medication Administration Form.
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Consent must be provided for all over-the-counter medications given to anyone under the age of 18 i.e. children attending Camelot functions, events, or activities. We recommend that you consult your child's primary care provider regarding the effects of these medications/preparations before agreeing to administration of the list of OTC medications in this application. Parents / guardians will be notified in the event of a serious injury or illness.

If you agree that these medications / preparations may be used to treat your child consistent with the product labeling, please select YES.  This consent is effective for one (1) year from the date of submitting this form.

Actaminophen (Tylenol)
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Antihistamine medications (Benadryl liquid/tablets)
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Antihistamine ointment/cream (Benadryl)
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Antiseptics (Bactine spray/triple antibiotic ointment)
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Caladryl Clear
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Cutter Skinsations
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Hand / Body lotion (Aveeno/Aquaphor/Vaseline Petroleum Jelly)
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Hydrocortisone cream
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Ibuprofen (Motrin / Advil)
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Saline/moisturizing drops (Visine)
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Tums / Maalox
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Are you bringing other OTC medications with you / your child to Camelot? *
If yes, you are bringing other OTC medications to Camelot, please list each medication with instructions.  Medications must be supplied and delivered to Camelot for Children in original packaging by parent / guardian.
By typing your signature as a parent/guardian of a minor you are agreeing to this statement:
I give permission to a medical/healthcare representative volunteering at Camelot for Children or a staff member to administer or assist in administering medications to my child(ren) as indicated by the manufacturer instructions.  I release Camelot for Children from any liability associated with the administration of these medications. 
Please place type name as your signature and the complete the date below.
Date for OTC Medication Form
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Are there any allergies for the volunteer, that you would like us to be aware of?   *
If yes for allergies, please describe for each one what the allergy is, what the typical reaction is, if there is risk of anaphylaxis, and if a Epi-Pen is required.
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