Camp Circle O' Friends Returnee Application Form "*" indicates required fields InstagramThis field is for validation purposes and should be left unchanged.Name First Date of Birth (dd/mm/year) Address Street Address City State / Province / Region ZIP / Postal Code Telephone (H)Telephone (W)E-mail* In case of an emergency, whom should we notify?Contact PersonNumberRelationshipYears as a volunteer at Camp Circle O’Friends Inc. (total years including this year)Previous volunteer position:Cabin Leader Boys AgesCabin Leader Girls AgesRecreationMed ShedOtherVolunteer position preferred this year:Cabin Leader Boys AgesCabin Leader Girls AgesRecreationMed ShedOtherWould you be willing to offer rides to Arlington Beach? Yes No Would you be willing to assist with camp planning activities?Willing to do a work beeWilling to help with planningT-Shirt Size S M L XL XXL I am unable to attend this year’s camp Keep my name for next year’s camp Volunteer Medical Screening FormSask. Health NumberDo you have any medical conditions we need to be aware of? Yes No Explain medical conditionsDo you have any allergies? If so, how severe is the reaction and what is the treatment? Yes No Explain reactions and treatmentsDo you have any physical limitations, previous back injury, or lifting restrictions? Yes No Explain if YesAre you taking any medications? Yes No Explain if YesHave you ever had chicken pox or the Varicella vaccine? Yes No Explain if YesHave you travelled anywhere within the last 6 months outside of Canada or the US? If so, please list Yes No Explain if YesAre your childhood immunizations up to date? Yes No Are you fully vaccinated against Covid-19? This includes a bivalent booster shot. CCOF strongly recommends volunteers are fully vaccinated against Covid 19. Yes No Explain if NoHave you had booster immunizations within the last 10 years? Yes No Explain if YesAre you trained in CPR/First Aid? Yes No Explain if YesAre you a cancer survivor? Yes No Explain if Yes
