Step 1 of 4 25% About YouName(Required) First Last Gender(Required) Male Female Preferred Name(Required) Please provide the name you typically go by. Email(Required) Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone(Required)Birthdate(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Home Church and City(Required) Have you volunteered with Camp Freedom before?(Required) Yes No If yes, how many camps have they attended?Have you completed Child Protect Training before?(Required) Yes No If yes, when did you last complete Child Protect Training?(Required) Are you available Monday, July 10, 2022 (evening) through July 15, 2022 (mid-day)?(Required) Yes No T-shirt Size(Required)Adult SmallAdult MediumAdult LargeAdult X-LargeAdult 2X-LargeAdult 3X-LargeAdult 4X-LargeAre you able to attend Camp Meetings May 20th (9am to 12pm) and June 17th (9am to 4pm)?(Required) Yes No Other These meetings will be for training and preparation for camp. May will be an in-person child protect training and trauma training. If you cannot make this meeting you will need to make up in June’s meeting. June is a MANDATORY meeting! This will be our last meeting before camp. If you cannot make either of these date please choose other, and explain why. Your Calling & GiftsWhat compels you to serve with Camp Freedom?(Required)What are some of your gifts?(Required)What area(s) would you feel comfortable serving in?(Required) Medical Team Kitchen Team Cabin Leader Security Team Setup/Teardown Teams Recreation Team Prayer Team Transportation Team Runner Anywhere Needed Emergency ContactEmergency Contact(Required) First Last Emergency Contact Phone(Required) Release of Pfrimmer's Chapel Church Inc.Consent(Required) I agree to the release of Pfrimmer’s Chapel Church Inc.I shall indemnify, hold free and harmless, assume all liability for, and defend the Camp Freedom Staff, Pfrimmer’s Chapel Church Inc., O’Bannon Woods State Park, it’s agents, servants, employees, officers, volunteers, and directors from any and discovery cost, court costs, and all other sums which Camp Freedom, Pfrimmers’ Chapel Church Inc., or O’Bannon Woods State Park assertion of liability, or any claim or action founded thereon, arising or alleged to have arisen out of the below listed child’s use of real or personal property belonging to Pfrimmers’ Chapel Church Inc., it’s agents, servants, employees, officers, volunteers, and directors, or by the omission by the below listed child.Volunteer Name(Required) First Last Volunteer Signature(Required)Date of Signature(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 DonationIf you are placed in a volunteer role, registration is free. However, if you feel led, we invite you to consider a donation to offset the cost. Would you like to make a donation?(Required) Yes No Donation If you are placed in a volunteer role, registration is free. However, if you feel led, we invite you to consider a donation to offset the cost. Enter amount above.Total Credit CardCard Details Cardholder Name
