Shagabec

First Name

Last Name

Address

City/Town

Province

Postal Code

Gender

MaleFemale

Preferred Pronouns

Phone Number

Birth Date

Shirt Size

Parents or Guardians' Names

Alternate Contact

Do you have?

Babysitting course First Aid Course Lifeguard qualification

At Shagabec have you been a

Camper CIT Counsellor First-Aider Director

If you have not volunteered before, indicate why you want to be a camp leader (include skills & experience)

YOU MUST PROVIDE 3 REFERENCES: Please supply the name, address, occupation, and phone number of three people who can speak to your personal skill, knowledge, attitude, and character. Your references cannot be relatives, but rather people who are knowledgeable of your growth as a volunteer or employee.

Reference #1

Reference #2

Reference #3

I wish to be a

Kitchen Helper (18 or older)

CIT (Counsellor in Training: ages 14 and 15) only eligible for Scampers, Squirts, and Hodgepodge camps

Counsellor (16 or older)

First-Aider (18 or older, must have a vaild First Aid certificate)

Camping Granny/Gramps (must be 50+) only needed at the Squirts, Jr Scampers, and Jr Hodgepodge camps

Please indicate the order of preference for which camps you are available and willing with 1 being your first choice.

How many camps would you like to volunteer at this summer?

Will you be attending Leadership Camp?

On occasion, photographs and videos of campers and staff may be used on display boards or on our website.

I prefer that my image NOT be used by Camp Shagabec in that way

Acceptance for all positions are based on reference checks and the volunteer coordinators approval.

Volunteer Medical Form

Full Name

Health Care Number

Province of Registration

Do you have any medical conditions including allergies we should be aware of? (Ex – asthma, seizures, physical or mental disabilities, hyperactivity, etc) Please specify:

Are you on any medication? If yes, please itemize (ALL MEDICATION MUST BE CLEARLY MARKED, AND HANDED TO MEDIC UPON ARRIVAL AT CAMP):

Do you have any physical, emotional, dietary (special diet) or behavioral problems? Please explain:

Please, contact us with any SPECIAL DIET CONCERNS so that we can make other arrangements. Please, do not bring any JUNK FOOD to camp.

Consent for Treatment

We will make every effort to inform parents/guardians of medical concerns, but we will not delay seeking medical attention as needed.

In the event of a medical emergency:

I give permission to Camp Shagabec and its staff to provide First Aid and/or transport to medical services as deemed necessary by Camp Shagabec personal.

Does the camp’s medical personnel have your permission to administer over-the-counter medications to your child as required? (Such as Tylenol, antihistamine, antacid, etc)

Note : Basic first aid supplies are kept at camp, you will have to provide all medicines for chronic conditions. Basic first aid for minor injuries will be provided as necessary. We will contact the parent/guardian if it is felt necessary.

Please make sure all the information is correct before submitting this application.

Volunteer Form

Volunteer Medical Form

Consent for Treatment