Winter Track Tune Up Camp Volunteer Application
Please print this form with your and guardians original signature and submit to Allison@achancetorun.com
Email address *
A Chance to Run, Inc. Volunteer Coach Application Form
Please submit your online responses below
Please Check Camp Session *
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Volunteer First Name *
Your answer
Volunteer Last Name *
Your answer
Nick Name
Your answer
Age *
Your answer
Current Grade *
Your answer
Participant's Mailing Address:
Your answer
Volunteer Phone Number: *
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Phone Number: *
Your answer
Alternative Contact (for emergency if you cannot be contacted): *
Your answer
Alternative Contact Relationship: *
Your answer
Alternative Contact Phone Number: *
Your answer
Please describe any first aid training and/or special qualifications. *
Your answer
Have you ever participated in a running sport before? *
Your answer
Please describe any medical issues, allergies or special requirements: *
Your answer
I understand that I am a volunteer for A Chance to Run, Inc. Winter Tune Up Camp under the direction of John Stevenson. This is a non-paid position however I may elect to receive high school community service credit. I will report on time and maintain a professional appearance in uniform. I understand that I am to follow the directions of the adult camp sponsor; adhere to all camp rules and watch out for the safety of the participants to the best of my ability. Should I not be able to perform the above duties, I may be asked not to return nor receive any community service credit. *
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Volunteer Signature: *
Your answer
I give my permission for the above participant to volunteer and take part in A Chance to Run, Inc. Winter Tune Up Track Camp. This volunteer/participant, to the best of my knowledge is in good physical condition and has no know conditions that may cause a health risk to themselves or another participant. I understand that Track, running and other outdoor activities have an inherent risk factor, and that all appropriate precautions will be taken for the participant. I give permission for A Chance to Run, Inc. and it's volunteers and/or hospital staff to administer proper medical assistance to the above named participant. I agree to release and hold harmless A Chance to Run, it's volunteers and benefactors from liability for all claims, resulting in any way from my participation in this Track Camp. I understand there is no affiliation with Sarasota County School System. *
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Parent Guardian Signature: *
Your answer
A copy of your responses will be emailed to the address you provided.
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