Teens in Action Opportunities Dec and January

SERVING OUR COMMUNITY

Camp Fire offers a number of service and leadership oppportunities teens during the next few months. There are limited spaces in each opportunity so if you are interested it will be first come first serve or according to our specific needs. Individuals who sign up and then fail to attend or notify us that they are not going to attend will not be allowed to participate in future events. Please complete the attached form and we will send you updated information. There may be fees for meals or transportation for some events. Please make sure you have completed the online registration for teens in action that was noted in your email.

Question Title

* 1. PLEASE PROVIDE THE FOLLOWING INFORMATION

FIRST NAME

LAST NAME

EMAIL ADDRESS YOUNG PERSON

PARENT NAME

EMAIL ADDRESS PARENT

MAILING ADDRESS STREET

MAILING ADDESS CITY, STATE, ZIP

STUDENT CELL PHONE

PARENT PHONE NUMBER

EMERGENCY CONTACT NAME

eMERGENCY CONTACT PHONE NUMBER

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* 2. HEALTH INFORMATION DO YOU HAVE ANY HEALTH ISSUES WE SHOULD BE AWARE OF

ALLERGIES

MEDICATION

SPECIAL NEEDS

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* 3. Please sign up for the activities you wish to attend. It is important that you only sign up for those where you plan to participate. If you sign up and then cannot attend, Please notify Mrs. Pezzuto immediately so that other young people can participate.

Help sell flowers at the FIne Arts Festival 13 and 14 Dec . Parent Volunteer needed to assist.

December 20ty from 2-6 Serve Dinner to the Senior Citizens at Laurel Lakes--Must wear holiday clothing

January 18th NBC 4 Health Fair at the Washington COnvention Center--arrive at 830 til 5. Bring money for lunch or a lunch Paremt Chaperones needed

January 19th NBC 4 Health Fair at the Washington COnvention Center--arrive at 830 til 4. Bring money for lunch or a lunch Parent Chaperones Needed

January 20th MARTIN LUTHER KING DAY Of SERVICE at BMHS-Participate in SErvice projects to help the community and celebrate the life of Martin Luther Kings Legacy. Parent Volunteers needed. Cost 5 dollars for Pizza lunch.

Dec though March WOrk on the Teen Driving Safety Program

National Service Learning Conference in New Orleans April 15 to 20. Cost Transportation tbd , Hotel 250, and registration (400) Food Breakfast and lunch included in fee dinner on our own. This will include service in the community of NEw Orleans.

Helping with Intergenerational Camp during Spring Break

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* 4. PARENT VOLUNTEER OPPORTUNITES

MY PARENTS ARE INTERESTED IN VOLUNTEERING

MY PARENT HAVE SPECIAL SKILLS THAT THEY ARE WILLING TO SHARE WITH TEENS

MY PARENTS ARE INTERESTED IN HELPING CAMP FIRE BUILD CAPACITY.

My parents have questions about opportunities to earn service hours

please indicate which events parents will assist with and provide contact info.

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* 5. By checking the following I agree to participate in Teens in Action and Camp Fire Service Opportunities and I understand the program policies

I understand that If I sign up for an opportunity and am unable to attend, I must Mrs. Pezzuto a minimum of 5 days prior to the project

I understand that I must dress appropriately for the event as discribed in the project description sent prior to the event

I understand that there may be a fee for food at projects. This will be outlined in the project description sent prior to the event

I agree to fully participate in the project and be a contributing member of the team

My parents have been informed of the opportunity and understand that they must provide me with transportation to the designated site

I understand that I represent myself, my family, my school and Camp Fire and will not engage in behaviors that are unacceptable including use of alcohol, drugs, tobacco, and that I will not bring weapons to the project. I understand that should I be found to be involved with any of these, I will be terminated from the project

I understand that I must be fully engaged and as such will not use my cell phone or other electronic equiptment during my service project unless use of it is required by the project.

Agree

Please type your name and date

Teens in Action Opportunities Dec and January

SERVING OUR COMMUNITY

Question Title

* 1. PLEASE PROVIDE THE FOLLOWING INFORMATION

Question Title

* 2. HEALTH INFORMATION DO YOU HAVE ANY HEALTH ISSUES WE SHOULD BE AWARE OF

Question Title

* 3. Please sign up for the activities you wish to attend. It is important that you only sign up for those where you plan to participate. If you sign up and then cannot attend, Please notify Mrs. Pezzuto immediately so that other young people can participate.

Question Title

* 4. PARENT VOLUNTEER OPPORTUNITES

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* 5. By checking the following I agree to participate in Teens in Action and Camp Fire Service Opportunities and I understand the program policies

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* 6. If you have any questions or need clarfication, please put them here