2018 Youth Volunteer Highlander District Day Camp
Youth from Boy Scouting and Venturing, and sponsoring church register here to volunteer at Highlander District Day Camp June 18 - 22, 2018 at St Elizabeth Ann Seton Catholic Church, 1000 Andrews Rd, Fayetteville, NC 28311.
Email address *
Where are we? In Bugville!!
First and Last Name *
Your answer
Age *
Your answer
Scouting Program *
Unit *
Your answer
Scouting Rank *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
T-shirt size - *
Days Available to Volunteer *
All Day 8:00-16:00
Morning only 7:30-12:00
Afternoon only 12:00-16:30
Not Available
Monday June 18
Tuesday June 19
Wednesday June 20
Thursday June 21
Friday June 22
Emergency Contacts Parent name and phone number *
Your answer
Emergency Contacts name and phone number other than parent *
Your answer
Person(s) authorized to pick up scout
Your answer
Person(s) NOT authorized to pick up scout
Your answer
Please list any medical conditions or physical characteristics camp staff must be aware of: *
Your answer
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 BSA AHMR part A & B and please bring a copy of this form to camp with a copy of your insurance card attached. *
Your answer
Den Chief Training
This course is not currently available online. Youth Volunteers will take the course as part of the youth volunteer orientation on Saturday June 16, 2018 at 9 am - noon at St Elizabeth Ann Seton Catholic Church (day camp site). If you have previously taken the den chief training please enter the date below. https://www.scouting.org/training/youth/den-chief-training/
Den Chief Training Date
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Youth Protection Training Date - if taken
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YYYY
Medications
Turn in all medications to the camp nurse/medic for accountability, per BSA policy. Medications that must be carried by a youth need a Physician's note. Instructions for giving medicine should be on the medicine bottle and AHMR. The camp nurse/medic is the only person authorized to give medications to scouts.
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
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 *
Required
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 Program Director.

If you have any questions, please contact the camp director at daycamp@highlanderdistrict.org or 910-213-6726.
Your answer
Thank you for volunteering for 2018 Day Camp.
If you have any questions, please contact the camp director at daycamp@highlanderdistrict.org or 910-213-6726.
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.
AND
Den Chief Training Certificate (online course - http://www.scouting.org/Training/Youth/DenChiefTraining.aspx)
AND
Youth Protection Training (online course - http://www.scouting.org/Training/YouthProtection.aspx)
AND
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
Please mail BSA Health and Medical Form Part A & B, youth protection certificate, and First Aid/CPR/AED training certificate (if certified) to Jenny Lamprides 2 Totten Street, Fort Bragg, NC 28307.
or turn in at Round Table OR Parent Orientation Meeting
(dates listed at http://highlanderdistrict.org/program/cub-day-camp/)
A copy of your responses will be emailed to the address you provided.
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