Volunteer Registration Form Volunteers Name: ______________________________________________Birth Date___________ Gender_______ Volunteers Phone Number _________________________Volunteers Email ___________________________________ Mailing Address___________________________________________________________________________________ Emergency Contact_________________________________________ Phone # ______________________________ Address_________________________________________________ Email ___________________________________
Camp Tee Shirt for Volunteer included, please state Adult Size_________ (S, M, L, XL, XXL) Additional shirt cost $15
Church Affiliation if any: ____________________________________________________________________________ Waiver Form Attached – For all Adult Volunteers that enter the property at the camp, an executed waiver and emergency medical form is required. Please fill out the attached waiver / emergency medical form and return with this your registration. Background Check Form Attached ‐ For all Adult Volunteers that will be staying at the camp overnight, a national criminal background check required for insurance purposes. Please fill out the attached form and return with your registration forms. If you are volunteering for construction projects or any scheduled event that does not require overnight stay at the camp, this form is not required.
Please indicate which areas that you are interested in volunteering for below. Please write a 1…2….3….etc. beside the Volunteer jobs in the priority order of your interest / skill. Please read the job descriptions / responsibilities and times of service prior to signing up for volunteer positions.
_____ Counselors (Age 21+)
____Kayaks/Canoes
____Airboat Pilot
(Full Week) (Mornings Tues. though Thursday) Afternoons Mon. through Thurs. _____Counselor In Training (Ages 19‐20) ____Paint ball, ____Bus Driver (Full Week) (Mornings Tues. though Thursday) (See schedule in Job description)
_____Events Staff (Full Week) _____Cooking Staff (Full Week) _____EMT / Nurse (Full Week)
____Archery
____Marksmanship
____Life Guard
(Mornings Tues. though Thursday) (Afternoons Mon. through Thurs.)
____Music Contact Josh Carter 678‐588‐2362
____Other (Indicate below) ____Construction Volunteer
(Mornings Tues. though Thursday) mysaviorleadsme09@gmail.com
(Mornings Tues. though Thursday) (See details under Job description)
If you are volunteering to help with the construction projects, please indicate below when you might be available. If you have ideas for sign up events (that are not listed above) that you would like to lead at camp, please indicate in the space below and I will contact you.
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Weeks that I would be willing to serve as a volunteer
June 10th‐14th (Guys and Girls 13‐18) July 1st‐5th (Guys and Girls 13‐18) July 22nd‐26th (Boys) June 17th‐21st (Guys and Girls 13‐18) July 8th‐12th (Guys and Girls 13‐18) August 5th‐9th June 24th‐28st (Guys and Girls 13‐18) July 15th‐19th (Guys and Girls 13‐18) All Weeks
The Camp Program for the campers begins at 2 pm Monday Afternoon and ends on Friday afternoon at 1 pm. Volunteers will begin set up at 8 am Monday morning and final breakdown and clean up can typically be completed by 4pm on Friday. Camp Address is: 536 NE 168th Ave. Old Town Florida 32680 (Old KOA Road). Contact: William Bloodworth 770‐598‐6896 wbloodworth@campanderson.org
Volunteer Job Descriptions and Guidelines
There are some things in life that money cannot buy. The experience of going on a "Mission Trip" to Camp Anderson is one of those "Priceless" things. When you volunteer for camp, you will work hard, play hard and be exhausted! .....but it will be the best tired you have ever experienced! There is no experience that compares with making a difference in a young person's life. When you see young people's lives changed, because of your sacrifice, you will never be the same again. There is no vacation, no retreat, no fishing or hunting trip, no golf outing….nothing that compares to coming to camp for a week and making a difference in a young person's life! There are many different ways that you can get involved as a Volunteer at Camp Anderson. Please review the opportunities below and fill out the Registration forms. You can scan and email the forms to wbloodworth@campanderson.org or you can mail them to: William Bloodworth 494 Covered Bridge Rd. Covington, GA. 30016 Call or email if you have questions 770‐598‐6896 I can’t wait to see you at camp! William Bloodworth Camp Director Weekly Volunteers (These are Volunteer Opportunities that include overnight resident stay at the camp) The Weekly volunteers typically will volunteer for an entire week at camp (Monday‐Friday) and will (for the most part) be resident on the grounds for the entire week. 1. Counselors (Age 21+) Resident with the campers (see job description on page 2) 2. Counselors in Training (Ages 19‐20) Resident with the campers (see job description on page 3) 3. Events Staff Resident at the Campground (see job description on page 3) 4. Cooking Resident and Non‐resident (see job description on page 3) 5. EMT / Nurse ‐ The camp needs at least one skilled EMT volunteer for each week of camp. Scheduled Volunteers (These are Volunteer Opportunities that do not require overnight resident stay at the camp) The Scheduled Volunteers donate their time at certain scheduled times during the week and do not necessarily need to be resident at the camp during the week. These areas of volunteer service can also be staffed by ‘Resident’ camp staff if you would like to be at camp all week or all summer. 1. Scheduled Event / Classes Morning ‐ Kayaking, Paintball, Archery, Rifle Range, Crafts, Cake Decorating Classes, Cosmetic Classes, Photography Classes, (If you have a specific skill or interest and would like to organize a sign‐up class please let me know and we will get a plan together). Typically the "Sign‐Up" events will take place in the first half of the day (10am to 1pm window) three days a week Tuesday, Wednesday and Thursday mornings. If you have skills in any of these areas, your leadership or assistance in these areas would be a great help! 2. Scheduled Group Events/ Afternoon ‐ Waterblob, Airboat Rides, Tubing / Watersports, Introduction to Scuba, Swimming at the Pool, and special games and group activities staff. The second half of the day typically (2pm to 6pm window), four days a week is when we need Airboat Pilots, Life Guards, Bus Drivers, Group Game Staff (Coaching Skills) etc. If you have skills and availability in any of these areas, your leadership or assistance would be a great help! 3. Bus Drivers ‐ The Camp needs bus drivers with proper passenger CDL licenses at the following times: a. Morning from 9:30am till 10:30am three days per week (Tuesday‐Thursday) to take the kayakers to Otter Creek Park and drop them off for kayaking excursion. b. Wednesday afternoon each week from 2:30pm till about 6:30pm to take the campers to Shired Island for a beach outing 4. Airboat Pilots ‐ The camp needs skilled, experienced airboat pilots to take the campers on airboat tours in the 3pm to 6pm window Monday through Thursday. We have a new "Camp Anderson" airboat that will be parked at the camp all summer, so you can schedule to use our airboat or you can bring your own if you would like.
5. Life Guards ‐ The camp needs skilled, lifeguards to oversee our group watersports events scheduled for 3pm‐6pm daily, Monday through Thursday weekly during the summer. This includes the "Water Blob", Pool, Jet Ski / Tubing group watersport events.
Projects Volunteers 1. Construction of Wooden Bund Beds ‐ We are planning on building 50 wooden bunk beds. The materials have been secured and we need men with wood working tools and skills to help. The project will be in two phases: Phase 1 ‐ Would be to fabricate all of the wooden parts for the bunks. This could be done off site at individual Volunteer's personal workshops or at the camp. Phase 2‐ Would be to assemble the bunks at the camp and put them in the cabins. This could be a scheduled work day for a group of men to have an "Assembly Workday" to git‐er‐done! 2. Re‐Model of Upstairs Male Staff Bunk Room ‐ This will require some skilled and un‐skilled construction men to take an unfinished space and make it habitable. We have commitments for most of the materials so we are ready to get started. This project will include light electrical (outlets and light fixtures, insulation, interior board and batten for wall surfaces, three doors, trim carpentry and flooring. This work can be scheduled around your availability to help. We will also plan to have about 4 Saturday work days during the months of March and April. If you would be willing to help with this project please let me know your availability. I will be traveling to the camp weekly on Friday night for Saturday workdays.
Job Descriptions 1. Counselors (Ages 21+) The camp counselor has the most important job at Camp Anderson. At camp, the counselor should think of themselves as the 'Parent' of their ‘family’ (cabin) for the week. Many young people in our society today are missing Godly, loving parents and this week is an opportunity to make a difference in that area. The responsibilities of the counselors include the following: A. Counselors are to be with their campers at all times during the week 24/7. B. Counselors are to assist the camp Staff in providing an awesomely fun experience for their campers. C. Counselors are to project an attitude of having "Unconditional Love" towards the Campers. Many young people that come to camp are broken and unloved and they desperately need to be met with the unconditional love of Christ. D. The Counselors goal is to help create a Spiritual Focus at the appropriate times during the camp week. E. Counselors are to lead their cabin in "God and I Time" in the morning at the scheduled time and to lead a time of devotion and prayer each evening in the cabin at lights out. (The 'God and I' time lesson booklets will be provided prior to Camp for your use). F. The Counselor should be watching for "divine appointment' opportunities to engage your campers in one on one conversation to find out where they are spiritually and to encourage them to make the decision to give their lives to Jesus Christ and to be 'Sold Out' to His purpose in their lives. Many lifelong discipleship relationships are formed at camp and your influence will make an eternal difference. G. Counselors should familiarize themselves with the Biblical Plan of salvation in the camp booklet and in their Bible and be prepared at all times to lead a camper to a saving knowledge of Jesus Christ. H. Counselors should spend time in devotion and prayer prior to camp and to come with a spiritually minded, loving, merciful, servant’s mindset. I. Counselors are responsible for keeping up with the team points for their team / cabin. J. Counselors are responsible to maintain order among the campers especially at lights out. K. Counselors are to make sure that camp rules are followed by all campers and that they are on‐time for all scheduled events. L. Counselors should provide oversight and direction to the ‘Counselor in Training’ (19‐20 yr. old) that may be in your cabin to assist you.
2. Counselors in Training (Ages 19‐20) a. The Counselor in Training ‐ responsibility is exactly the same as the counselor's with the understanding that they assist and take direction from the assigned lead Counselor. b. The Counselors in Training will also have specific assigned duties during the week that may include assistance with set‐up and breakdown for events, clean up and general camp duties.
3. Event Staff (Resident Weekly staff) ‐ We will need a team of men / ladies that will oversee the setup, breakdown and clean up at individual events and group activities during the camp week. This will include fueling of Jet Skis and Airboat, helping the ladies set up serve and breakdown at meal time, planning and oversight of loading of necessary items for special events like the Shierd Island beach trip and similar special events. This position requires a servants heart, the willingness to see what needs to be done and to jump in and help and some practical crisis management skills. These men and ladies make camp run smooth and enjoyable for the campers.
4. Music Team ‐ The music at Camp Anderson is a huge part of the Camp experience. Our Goal is to engage the campers and staff in a worshipful experience that is balanced and glorifies God.The Music Leader is Josh Carter and he will provide direction for all music events. You can contact Josh Carter 678‐588‐2362 mysaviorleadsme09@gmail.com All musical equipment brought to the camp will need to be protected and secured by its owner, as the Camp cannot be responsible for damage or loss to musical equipment.
5. Cooking Team Volunteers ‐ The Camp Anderson food is an important part of the camp experience in addition to meeting the dietary needs of the campers and staff. We seek to provide meals that are nutritious and satisfying but also are unique and create positive memories about camp. Each week there will be a Camp Chef that will make the final plans for weekly menu and will be responsible for the ordering of food and for over‐site of the cooking team. A camp menu and recipe manual will be in the kitchen for reference. Typically meals will be prepared in the new camp kitchen and served in the pavilion. The typical meal times are as follows (but may be amended as schedule requires). Breakfast 7:15am‐7:35am, Lunch 1:00pm‐1:30pm, Dinner 6:30pm‐7:15pm. The Cooking staff will have comfortable, air‐ conditioned accommodations that are near the restrooms and the kitchen. This is a great opportunity to have significant part in this ministry, to use your God given talents and to interact with and show the love of Christ to young people.
6. Kayaking Team Volunteers ‐ The Kayaking Staff Team will be responsible to lead a team of up to 30 campers in a 2‐3 hour kayaking trip daily. The campers will be transported up river by bus and camp deuce and a half to Otter Creek Park where the kayaking trip will launch. The Kayak event staff will need to give safety instructions and general guidelines for the trip. Everyone on this trip must wear a life vest at all times for safety. The trip will launch from the boat launch at Otter Creek, and will travel through the scenic swamp creek to the Suwannee River and will then travel down river to the Little Otter Spring. The team will snorkel in the natural spring for about an hour and then proceed down river to the Camp. Kayaking staff needs to be good swimmers, fit and able to confidently lead a group excursion. When the Kayaking group arrives back at camp, the Kayaking staff will need to clean, organize and load all equipment back on the kayak trailer and have it loaded and ready for the next trip. (Campers and Counselors in training can assist with this loading process.)
7. Archery Team Volunteers ‐ The archery team will have the responsibility to teach groups of up to 16 campers at a time, how to shoot compound bows. This will include instructions and demonstrations of technique and will involve one on one instruction. The Archery volunteer staff will oversee the archery competition and will determine a points system to determine the best archers from each group / cabin daily. The Archery staff will determine the top two archers from each cabin / team and will conduct an Archery Tournament on Thursday afternoon to determine who will receive the "Robin Hood" archery award for the week. The Archery team will need to be skilled at shooting a bow and willing to instruct. Archery volunteers will need to enforce safety rules, maintain and organize equipment, find stray arrows, organize and keep up with team and individual archery points.
8. Rifle Range Volunteers ‐ The Rifle Range team will have the responsibility to teach groups of up to 16 campers at a time how to shoot pellet rifles. This will include gun safety instructions and demonstrations of technique and how to achieve accuracy. The Rifle Range staff will oversee the marksmanship competition and will determine a points system to determine the best marksmen daily from each group / cabin. The Rifle Range staff will determine the top two marksmen from each cabin / team and will conduct the "Sharp Shooter Shootout" Tournament on Thursday afternoon
to determine who will receive the "Sharp Shooter" award for the week. The Rifle range team will need to be skilled at shooting pellet rifles and willing to instruct. Volunteers will need to maintain and organize equipment, sight in and adjust all rifles, organize and keep up with team and individual marksmen points. Guns will need to be oiled after each use and properly stored. All participants must wear eye protection at all times.
9. Paintball Course Volunteers ‐ The Paintball Course team will have the responsibility to lead groups of up to 40 participants per morning session with individual matches to accommodate up to 20 players at a time. Paintball sessions to begin with a safety and instructional session. The paintball volunteer staff will oversee the paintball competition and will determine a points system to determine the best individual players as well as daily points for each group / cabin. The paintball staff will collect all morning paint ball session scores and set a championship tournament for Thursday afternoon to determine the top paintball team award winners and the "Ironman" individual award. The paintball team will need to be skilled paintball tournament play and generally accepted rules and safety guidelines. Volunteers will need to maintain and service all paintball equipment and fill CO2 tanks according to accepted safety guidelines. Guns will need to be cleaned and stored properly after each daily session.
10. Airboat Pilot ‐ Camp Anderson is in need of skilled, experienced airboat pilots that would be willing to take campers on airboat tours in the late afternoon between 3pm and 6pm schedule widow 4 days per week. Available times would be Monday through Thursday late afternoon each day. Camp Anderson has an excellent airboat and will provide fuel. Airboat Pilot would need to review the basic mechanics of the airboat to make sure that fuel and oil levels are proper and mechanical systems are in proper working order. All Participants must wear a properly adjusted life vest at all times. Each afternoon session will consist of about 5 @ 20 minute tours. Each tour trip will transport approx. 8 campers. We would like to get a group photo of each group that takes a tour.
Typical Daily Schedule (will modify slightly to accommodate special events) 7:00 am Wake ‐Up Call, Rise and Shine! 7:30‐8:00 am Breakfast at the Pavilion 8:00‐8:30 am God and I time (Small Group with Counselor) 8:30‐9:15 am Music and Morning Charge with Camp Pastor (Pavilion) 9:30 ‐ 1:00 pm Morning sign‐up events, paintball, kayaking excursion, archery, marksmanship, crafts, cake decorating 1:00‐1:30 pm Lunch at the Pavilion 1:30 ‐ 2:30 pm Cabin time, Game room, Nap time, Free time, showers. 2:30‐6:00 pm Group events, water blob, tubing, airboat rides, beach trip, archery, marksmanship, paintball tournaments. 6:30‐7:15pm Evening Meal 7:30‐9:30pm Evening Service 9:30‐11:00pm Free time, Campfire, Canteen, Game room, Showers. 11:00‐11:30pm Cabin Devotions / Prayer 11:30pm Lights Out! Things to Bring to Camp: 1. Sleeping Bag and pillow 2. Old Clothes include long pants in addition to shorts 3. Old Tennis shoes 4. A Bible with Old and New Testament 5.Bug Spray 6. Sunscreen 7. Towel and basic toiletries 8. Pocket flashlight or headlamp 9. Modest swimwear (Girls one piece or tankini) 10.Snorkel mask (if you have one) 11. Spending money for the Canteen (optional) 12. Fishing pole, if you would like to bring your own, (camp will provide fishing gear). 12. Small digital pocket camera with SD Card (if you have one)
Things Not to Bring to Camp: Radios, videos, magazines, drugs, alcohol, fireworks, matches, lighters, knives, guns or weapons, obscene material, or inappropriate t‐shirt graphics.
For more information or questions please contact: William Bloodworth (Camp Director) wbloodworth@campanderson.org 770‐598‐6896 you can also see our website at www.campanderson.org You can scan and email forms to wbloodworth@campanderson.org or you can Mail completed Volunteer forms to: William Bloodworth 494 Covered Bridge Rd. Covington, GA. 30016
Camp Anderson PARTICIPANT RELEASE OF LIABILITY ASSUMPTION OF RISK AGREEMENT And MEDICAL INFORMATION ***READ BEFORE SIGNING*** I, ______________________________________________, am a “Participant” in the Camp Anderson program, sponsored by Camp Anderson and others for my benefit. In consideration of being allowed to participate in any way in the program, related events and activities, I the undersigned, acknowledge, appreciate and agree that: I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED IN CAMP ANDERSON ACTIVITIES INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I, for myself, my heirs, executors, administrators, personal representatives, successors and assigns hereby agree to hold Pinecrest, Camp Anderson and its officers, agents, trustees, land owners, sponsors, volunteers, and employees harmless from and against any and all liabilities, actions, causes of actions, claims, expenses, and damages suffered on account of any injury to me or my property, even injury resulting in death, which I now have or which may arise in the future in connection with my participation in the activities or any activities, acts, or events associated therewith, including but not limited to any transportation provided or involved in such activities. I expressly agree that this release agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and Georgia and that if any portion of this Release is held by any court of competent jurisdiction to be invalid or unenforceable, it is agreed that the balance of the Release shall, notwithstanding, continue in full legal force and effect. This Release contains the entire agreement between Camp Anderson and me and the terms of this Release are contractual and not mere recital. •Many of the Camp related activities provide desirable experiences that are accompanied by inherent risk that are often higher than normal daily life risks. I am aware and understand that participating in activities while at Camp Anderson, including, but not limited to, use of water blob, tubing behind jet ski, snorkeling or swimming in the river, ocean, or swimming pool, Paintball, Marksmanship with pellet rifles, riding in a boat or Airboat in the river or ocean, wilderness activities, field sports, and all other camp related activities including work related activities, include the potential risk of injury or death. Some of these risk include (but are not limited to), accidents with fire arms, accidents related to swimming, boating or water sports, including drowning, attacks from wildlife in the water and on land, transportation accidents, physical strain related to strenuous field games and work related accidents for volunteers and paid employees. •I understand that it is normal for camps of this nature including Camp Anderson to utilize volunteer staff and staff that is under 18 yrs. old and that these staff members may not have extensive professional training. While Camp Anderson attempts to provide adequate instruction, policies and procedures, there are inherent risk involved with participating in activities and events that include supervision and oversight by non‐professional staff members. Some of the risk include injury or death that may be a result of the staff members oversight of potential hazards, lack of judgment in analyzing risk, lack of proper judgment in prevention of risk and other negligent (but not grossly negligent or intentionally wrong) acts. I also am aware and understand that all of the program activities are strictly voluntary and it is my choice to participate in each activity to whatever degree I deem appropriate, after due consideration of the risks, my own physical health, physical abilities and medical condition. •I agree that I am solely responsible for my own participation and for my own physical and emotional well‐being. I will not be under the influence of any chemical substance, including alcohol, while participating. The health history presented to the camp is correct to the best of my knowledge. •I willingly and knowingly assume for myself, my heirs, family members, executors, administrators, and assume all risk of physical injury and emotional upset which may occur during or after participating in any aspect of the program and to hold the Camp Anderson sponsors, Land owners, its employees, its volunteers, its instructors, facilitators and agents and participants harmless for any liability arising out of my participation in the program. Should Camp Anderson or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify (to shift the responsibility for payment of damages to someone else) and hold Camp Anderson and its sponsors, Land owners, its employees, its volunteers, its instructors, facilitators and agents and participants harmless for all such fees and costs. •I authorize the Camp Anderson to have and use photographs, slides and videotapes of the person named above as needed for its records and marketing purposes. •I have had sufficient opportunity to read this entire document. I have read and understand it, and I agree to be bound by its terms.
I hereby grant Camp Anderson and its agents, full authority to take whatever action they deem necessary regarding my health in the case of an emergency. I fully release Camp Anderson and its agents from any liability in connection with those decisions. I grant permission for Camp Anderson and its agents to make decision on my behalf for emergency treatment and care. I understand and agree that I am responsible for all medical care expenses incurred to treat the participant’s injuries including, without limitation, physician, hospital, lab, drug and devise and transportation expenses. The following policies or coverage are available to cover the cost of medical care to treat any injury incurred by the Participant: Insurance Company_____________________________________________Policy#_________________________________
Insurance Company Ph. #____________________________________ I hereby give approval of the above‐named participant’s, participation in any and all programs and activities sponsored or provided by Camp Anderson, and do hereby waive, release, absolve, forever discharge, and agree to hold harmless Camp Anderson, Pinecrest, William Bloodworth, its officials, land owners, organizers, supervisors, participants, volunteers and persons involved in the operation, organization, sponsorship, supervision or participation of these activities, programs and transportation, against any claim or cause of action, of any nature whatsoever, that may be available to the Participant or his/her parent and /or legal guardians, family or others arising out of the Participant’s participation in such programs, activities, or transportation and travel. Participant Signature____________________________ Print Name_____________________________ Date__________ Cell Phone___________________ Home Phone_________________ Email Address______________________________ Please answer all questions below. If you answer YES to any questions, please explain. 1. Does Participant have any past or current conditions, including injuries, (physical, mental, or psychological) which may affect his or her participation at camp?_____________________________________________________
______________________________________________________________________________ 2. Are there any activities that Participant will not be able to participate in during camp? (Please see the camp activity list).____________________________________________________________________________
______________________________________________________________________________ 3. Does Participant know how to swim and does he/she have your permission to swim in water that is over his or her head without wearing a life‐ vest?___________________________________________________________________________ 4. Does Participant regularly take any medications, including all over‐the counter medication? Please note that all medications participant will be using at camp must be brought in the original, labeled package.
______________________________________________________________________________ ______________________________________________________________________________ 5. During the past twelve months, has participant seen a professional to address mental/emotional health concerns?
______________________________________________________________________________ ______________________________________________________________________________ 6. Is there is any additional medical information you think is important or that may affect the participant ability to participate in the camp?______________________________________________________________
______________________________________________________________________________ 7. Does participant have any dietary restrictions or allergies?_______________________________________ 8. Please provide specific instructions for medications to be administered at camp and any other special medical instructions:______________________________________________________________________
______________________________________________________________________________ Volunteer/Participant’s Signature________________________________________________Date___________________
Volunteer Background Check Consent Form
Dear Volunteer: I am so happy you have volunteered to work with young people at Camp Anderson. As you know, your influence on these young people can make an eternal difference in their lives. Every parent is happy to know that we take the stewardship of their young people seriously and that we are committed to make sure that all resident adults at camp have undergone a proper background checks. Our insurance company also requires this national criminal background check. Please fill out the background check consent form below and return it with your volunteer registration forms. I greatly appreciated and your willingness to invest your time, talents and treasure into the lives of young people. Sincerely, William Bloodworth (Camp Director) I hereby authorize Camp Anderson to receive any criminal history record information pertaining to me on file at any state or local criminal justice agency within the United States. I understand that this is a requirement for my working as a volunteer or employee as an overnight resident at Camp Anderson.