Vraj Youth Camp 2018

ONLINE VOLUNTEER REGISTRATION FORM
PART I

Please ensure that your information is accurate before continuing.

Important Notes:

  • You must be able to attend the camp for the entire duration.
  • You must attend the pre-camp Workshop during April 27-29, 2018.
  • You must be open to take on ANY responsibilities requested.
Name of Volunteer
First Name*
(no space and title)
Middle Name Last Name*
Gender*

Number of year(s) camp attended: year(s).
Date of Birth (MM/DD/YYYY)*           Age:
Home Address* Street 
City   State   Zip 
E-mail*
Phone (xxx-xxx-xxxx) Home*:   Work:   Cell*:
T-Shirt Size*
You will not be able to request different size at the Camp.
Adult Size:
Emergency Contact*

Full Name:   Relation
Home Phone (xxx-xxx-xxxx):   Cell Phone (xxx-xxx-xxxx):
Health Insurance Information*

Health Plan:   ID#:

Subscriber Name:   Group #:

I would like to volunteer for the camp(s) checked below: *

Camp I (9-12 yrs - Jul 7-14, 2018)
Camp II (13-16 yrs- Jul 14-21, 2018)
Camp III (13-16 yrs- Jul 21-28, 2018)
Camp IV (9-12 yrs - Jul 28 - Aug 4, 2018)
Camp V (9-12 yrs- Aug 4-11, 2018)

Check at least three activities you are interested in to teach/lead: (Depending on the camp's need, you may be assigned different activities from what you may have selected)*
Leading Yoga First-Aid Time Keeper
Teaching Our Religion Teaching Gujarati Teaching Our Culture
Photography / Videography Kitchen Help Driving / Shopping
Please list any allergies to medicine and/or food, and list any medical conditions.
Important Note:
Vraj facilities may have been used for food preparation with Peanut, Tree Nuts, Soy, Milk and Wheat.
Vraj will not be able to provide quarantined facility or meals with specific dietary requirements.

Please mark the following questions*:
1) Do you need to bring daily seva to camp? Yes /  No
2) Do you have any special dietary requirement? Yes /  No
3) Do you have a special living requirement? Yes /  No
4) Do you have a physical disability which may prevent you from daily camp activities? Yes /  No
5) Will you be able to attend the workshop during April 27-29, 2018? Yes /  No


Would you like to be considered for an Early Registration Token? Yes /  No
Have you already volunteered for more than three consecutive years for the Vraj camp? Yes /  No


My child(ren) will register/have registered for the following camp. Must complete for consideration of Early Token for Camper(s):
Name of Child Camper/Counselor Preferred Camp Number

* This is for information only. Your child is required to register online separately.
* Child's acceptance is NOT guaranteed to your being a volunteer.