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  EMERGENCY CONTACT INFORMATION 
All volunteers are required to have active health insurance. 
    
        Will you be able to provide proof of insurance if accepted as a volunteer? Yes   No   
                
        
     
  
  
  EMPLOYER / EDUCATION INFORMATION 
New York State Health Department and the American Camping Association require ALL applicants to enclose a biography.  We need to know about you, your experience with Camp Good Days and Special Times, its programs, or anything that relates to your dealing with children who have special needs.  Please include information on areas of expertise, your current certifications (First Aid, CPR, Aquatics), or any physical disabilities you may have. 
    
        *Brief Biography of max. 500 words 
        
     
   
  
     
        
      Please list names, complete mailing or email addresses and phone numbers of three persons (cannot be relatives of yours or Camp Good Days staff) who have knowledge of your character, experience and abilities.
PHOTO / AUDIO-VISUAL / MEDIA RELEASE 
I hereby grant permission to participate in any audio-visual event (including photos and videos for future Camp use) that may take place in regard to this program and release Camp Good Days and Special Times, Inc., and everyone involved of any liability or claims in association with the media coverage if such takes place.
    
        *(If NO, Please be aware of the responsibility)  
   
  
  PLEASE READ AND VERIFY BELOW 
I am aware that in being accepted as a volunteer, I am committed to complete MANDATORY TRAININGS, the dates of which are to be announced. The information provided by me in the volunteer application is true and complete to the best of my knowledge.  I understand that if I am selected, any false statements will be considered as cause for possible dismissal.  You are hereby authorized to conduct any investigation of my personal history, as related to the volunteer position for which I have applied.
Consent for Medical Treatment 
Permission Slip / Waiver 
Confidentiality Agreement 
    
        *I verify that I have read, understand, and agree to the statements written above.