iCan Swim Volunteer Registration Form
Host name: Down Syndrome Guild of Dallas
Camp dates: June 17, 2019 - June 21, 2019
Camp location/address: Greensboro Aquatic Center, 1921 W Gate City Blvd, Greensboro NC 27403

We are pleased to offer this swim program to people with disabilities and look forward to having you play an important part in helping our swimmers reach their goals in the aquatic environment.

***NO PRIOR EXPERIENCE WORKING WITH PEOPLE WITH DISABILITIES IS NECESSARY***

AGE REQUIREMENT: Volunteers must be at least 15 years old.
If you are under 15, please contact the Camp Host for possible opportunities.
SKILL REQUIREMENT: Volunteers must be comfortable in the water

For questions please contact Samantha Escherich at samantha@downsyndromedallas.org

Volunteer Name *
First Name Last Name
Your answer
Gender
Date of Birth *
MM
/
DD
/
YYYY
T-shirt size
E-mail address *
Please ensure you have entered a valid email. The Camp Host will use this address when corresponding with you.
Your answer
Cell Phone *
Please enter 10 digits
Your answer
Home Address (Number and Street) *
e.g., 123 Parker Pl.
Your answer
Home Address (City) *
e.g., Fairfax
Your answer
Home Address (Zip Code) *
5 digits only, please. e.g., 22011
Your answer
Home Address State/Province *
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Please enter 10 digits
Your answer
Parent/Guardian Email (if volunteer is under 18 y/o)
Please ensure you have entered a valid email. The Camp Host will use this address when corresponding with you.
Your answer
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