Christian Discipleship Farm and Festival
Volunteer Registration

First Name:
Last Name:
Age:
Sex:	Choose... Male Female

Street Address:

City:

State:

Zip:

Phone:

Best times to reach you:

Email Address (Only if this is a good way to send confirmation and other information):

Parent's Name (If under 18):
Emergency Contact Name:
Emergency Contact Phone:

Are you a Christian?	Choose... Yes No	If yes, name of church you attend:
		Location of Church - City:		State:

Are you attending with a group?

Choose... Yes No

If yes, what group?

Have you helped with the camp or festival before?	Choose... Yes No	If yes, which one and what did you help with?
Do you speak any Spanish?	Choose... Yes No
Do you know any sign language?	Choose... Yes No
Do you have current CPR or first aid training?	Choose... Yes No

I am allergic to the following:

Please list specific allergy information (i.e. describe reaction, level of sensitivity, treatment, etc.):

Tell us about any dietary restrictions you have:
Are you a vegetarian?	Choose... Yes No

Do you have any restrictions or special needs related to physical activity?

Choose... Yes No

If yes, explain:

Are you currently taking any medications?

Choose... Yes No

Does it need to be administered at camp/festival?

Choose... Yes No

If yes, explain:
Other health concerns:

T-shirt size (The shirt is free):

Choose... Small Medium Large X-Large XX-Large XXX-Large Don't want one

I will be able to help at the camp on the following days:

Saturday 9th (setup 9 AM to 6 PM)

Monday 11th (8 AM to 2:30)

Tuesday 12th (8 AM to 2:30)

Wednesday 13th (8 AM to 2:30)

Thursday 14th (8 AM to 2:30)

Friday 15th (8 AM to 2:30)

Christian Disciple Festival Information

The festival starts on Saturday the 9th with registration beginning ag 3pm. There will be some activities on the 9th and 10th and there will be opportunities to help with setting up the festival site. We also need help on the 16th cleaning up.

I plan to stay overnight at the Festival the following nights:

Saturday 8th - limited options please call

Sunday 9th

Monday 10th

Tuesday 11th

Wednesday 12th

Thursday 13th

Friday 14th

Provide day and approximate time of arrival:

Day and time of departure (clean up on 15th is till 11AM):

If yes, where will you be staying?

Choose... In a tent ($7/night) In an RV ($15/night) In a building on the floor ($1.50/night)

If you wish to pay in advance for meals you can calculate that in with the amount you owe. Keep in mind, changes can be made to this calculation at registration but not later in the week. Otherwise you can just pay for your meals as you go.

I would like to pay for these meals in advance:

	Number of breakfasts ($3 each). Served Monday through Saturday.
	Number of lunches (max is 1)(Free and served only on Saturday, August 8 at the farm for those helping with farm setup.
	Number of dinners ($4 each). Served Sunday through Friday.

Camp Volunteer Opportunities and Information

Please use the drop-down menus to number the top three preferred areas you would like to help in (1,2,3 - 1 being your first choice, 2 your second choice, and 3 your third). We will make every effort to give you your first choice. See the job description sheet for more information on these jobs.

1 2 3	Buddy to a camper with special needs (age 14+)
	If you have had any experience (it is not necessary) working with children with special needs please tell us about it:
	Are there any restrictions as to the type of special needs you feel you could handle (i.e. behavioral problems, unable to push heavy objects)?
	Name of camper you would like to be a buddy to, if known:

1 2 3	Group Leader (age 18+)
	Please answer these questions below. Why do you think you would be a good candidate for this job? Where are you on your walk with Christ? How does your Christianity affect your lifestyle?

1 2 3

Assistant Group Leader (age 14+)

Other volunteer opportunities:

1 2 3	Craft activities (age 16+)	1 2 3	Video person
1 2 3	Create, assist, or lead nature studies (age 18+)	1 2 3	Kitchen
1 2 3	Assist campers with fishing	1 2 3	Grounds keeper
1 2 3	Create, assist, or lead group games (age 18+)	1 2 3	Special education teacher
1 2 3	Help with horses	1 2 3	Child care for toddlers
1 2 3	Photographer	1 2 3	Clean up on Fri. 8/11 2:30-4 PM
1 2 3	Set up on Sat. 8/5 from 9 AM - 3 PM	1 2 3	Help with Rock Wall (age 16+)
1 2 3	Speech therapist	1 2 3	Physical therapist
1 2 3	Occupational therapist	1 2 3	Nurse
1 2 3	Other (Please explain in the text box below)	1 2 3	I'll help wherever needed