2023 Camp Volunteer Registration 2023 Camp Volunteer Registration "*" indicates required fields READ BEFORE STARTING THE APPLICATION! 1. Please have an uploadable copy of your Health Insurance ID and COVID-19 Vaccination card available prior to filling out this form. The form can only be submitted when all required fields are completed. 2. You must be able to attend the camp for the entire duration. 3. You must attend the mandatory pre-camp Workshop on April 28-29, 2023. 4. You must be open to take on ANY responsibilities requested. 5. Please make sure to check your spam folder if you do not see your confirmation email in your inbox after submitting this form. 6. All volunteers are required to be vaccinated for COVID-19 (including booster shot, if eligible). For more information on volunteers please contact volunteerreg@vrajyouth.netCamp Volunteer InformationVolunteer Email*Only one submission per email address is allowed. Please make sure that the form is filled accurately before submitting. Enter Email Confirm Email Volunteer Name* First Last Gender* Male Female Number of year(s) attended camp*None1-3 years4-7 years8-10 years10+ yearsVolunteer Date of Birth*Please pick year, month, date in that order for the field to populate properly. MM slash DD slash YYYY Home Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Volunteer Contact Phone*Would like to attend:*Camp 1 (June 25 - July 1, 2023 - 9-12 yrs)Camp 2 (July 2 - July 8, 2023 - 9-12 yrs)Camp 3 (July 9 - July 15, 2023 - 13-16 yrs)If my first preference is not available, I can attend:*Camp 1 (June 25 - July 1, 2023 - 9-12 yrs)Camp 2 (July 2 - July 8, 2023 - 9-12 yrs)Camp 3 (July 9 - July 15, 2023 - 13-16 yrs)No other campInterested in following activities*Check your preference for each activity. Depending on the camp's need, you may be assigned different activities from what you may have selected.Strongly interestedCan perform if assignedNot interested at allLeading YogaFirst-AidTime Keeping / SupervisionTeaching - GujaratiTeachingCurriculum Lead (Must have camp teaching experience)Kitchen Help (Preparing meals/chopping)Kitchen Lead (Must have camp kitchen experience)Driving/Shopping (Must bring SUV/Van to camp)Photography/VideographyIf interested in Teaching , please complete this below.*If interested in Teaching , please complete this below.Can Read and Write GujaratiConversational OnlyNeitherN/AProficiency in Gujarati (Pick 1 option)If interested in First-Aid, please check all applicable options below: Am a clinician (e.g. Physician, PA, Nurse, have any healthcare clinican degree) Am a Pharmacist Am an EMT None N/A Have you had First-Aid and/or CPR (Cardiopulmonary Resuscitation) training?* Yes No T-Shirt Size*SMLXLXXLConfirm availability for Camp Workshop on April 28-29, 2023*Note that attending the Workshop is mandatory. Confirmed volunteers may be cancelled if they do not attend the workshop. If an early registration token is used to enroll your child using camp volunteering based token, the child's camper registration will be cancelled as well. Will attend Cannot attend (Live 200+ miles from Vraj) In case of emergencyEmergency Contact Name* First Last Relationship* Emergency Contact Number*Do you carry health insurance?* Yes No Health Insurance Carrier* Subscriber ID* Subscriber Name* Group Number* Proof of health insurance (Front of ID)*Upload copy of front of health insurance ID.Max. file size: 2 MB.Proof of health insurance (Back of ID)*Upload copy of back of health insurance ID.Max. file size: 2 MB.Health Insurance Waiver*I hereby assume complete financial and other responsibility for all and every health and accident related expense for myself while I am Vraj premises or on any excursions that I may take part in while attending Vraj Camp. I undertake to hold the Vraj temple organization, all its employees, volunteers, counselors and campers harmless against any action that may arise out of any occurrence involving during Vraj camp. Release of LiabilityProof of COVID-19 Vaccination**All Volunteers must be fully vaccinated (including booster, if eligible)*Max. file size: 2 MB.List allergies to medicine and/or food and medical conditions.*Note N/A if none. Important Note:Vraj facilities may have been used for food preparation with Peanut, Tree Nuts, Soy, Milk and Wheat. Vraj will not be able to provide quarantined facility or meals with specific dietary requirements. Do you have a physical limitation which may prevent you from daily camp activities?* Yes No If answered yes to physical limitation, please explain which camp activities cannot be participated in or performed.* Camper InformationHiddenToken for Early Camper Registration RequestedTokens are only provided to children of Volunteer parent. If have volunteered at camp for more than 10 years, one token is provided for use by a related child (grandchild/niece/nephew). In any case, the token will be issued to the volunteer and the camper must register with the email id of the Volunteer. Yes No HiddenIf volunteered for more than 3 consecutive years, is 2nd early camper registration token requested? Yes No HiddenName of Camper Token is requested for First Last HiddenCamper BirthdatePlease pick year, month, date in that order for the field to populate properly. MM slash DD slash YYYY HiddenCamper Gender Male Female HiddenName of 2nd Camper Token is requested for First Last HiddenBirthdate of 2nd CamperPlease pick year, month, date in that order for the field to populate properly. MM slash DD slash YYYY HiddenGender of 2nd Camper Male Female ConsentThank you for allowing me to provide my service to our children at Vraj, land of Lord Shrinathji. I will nurture, train, and respect all children and youth at camp. I understand that it is mandatory to attend volunteer workshop at Vraj during April 28-29, 2023. If I cannot attend the workshop, am not able to attend camp for any reason or may not be selected to volunteer at Vraj camp, early camper registration of my child (if made using camp volunteer token) will be cancelled. Regular Refund policy will be applicable. I understand that I have to arrange for my own transportation to and from Vraj. I understand that I have to stay an entire camp week from Sunday to Saturday. I must remain impartial and provide equal care and attention to each and every camper. I will not provide any special treatment to my child or relative. In case of an emergency, my child will contact his/her Counselor. If needed, their Counselor will consult the Camp Director. I understand that due to certain limitations, camp management is not able to accommodate and support volunteers with special needs such as daily Seva, special dietary and living requirements. I understand that any medical bills will be paid in full by me, including co-payments, if it is required in case of emergency during my stay at the camp. Vraj is not liable for any medical bills. I understand that I can use my cell phone and/or computer ONLY in my room. Cell phone use is prohibited during camp hours except for camp business. Photography and videography is NOT permitted except during Friday night camp-fire or Garba night. I understand that this gathering is an informal family type of gathering, and that the institution does not assume any legal responsibility of any attendee. I hereby release PMVS and its associates, workers and volunteers of any liability arising from any accidents or injuries that may occur while attending the gathering. Vraj is not liable for payment of any medical and/or any other expenses. I understand that hazing and bullying is criminal act and will not be tolerated at Vraj Youth Camp. All parties involved including witnesses have a responsibility to immediately report all incidents directly to the Camp Director with all necessary details. Without such cooperation, the Camp Director will not be able to take any immediate action. As applicable, appropriate action will be taken by the camp management. I understand that I will be sent home on finding of Possession of Illegal drugs, E-Cigarettes and/or Cigarettes, alcohol, illegal drugs, weed/marijuana or any other non-camp appropriate items. Vraj camp is smoke and drug free. It is important for everyone to follow all Camp rules and regulations. Rules and Regulations (Volunteer Handbook) can be found on the vrajyouth.org website. I agree to report any activities committed by myself or other members during the time at camp including, but not limited to smoking/vaping, consuming alcohol, illegal drugs, weed/marijuana and/or gambling of any kind. I agree to report any concerns that may be a sign or symptom of COVID-19 from either myself or another member during camp. I have read the consent and will abide by the vaccination policy set by VYC and follow safety protocols during camp. I, undersigned, hereby assume complete financial and other responsibility for all and every health and accident related expense on Vraj premises or on any excursions I may take part in while attending Vraj Camp. I voluntarily waive, release, and hold harmless Vraj / PMVS, its board, employees, and other volunteers from all claims, accidents, injuries, or death that may result from any act or activities during the camp. I provide permission to use my photos taken at Vraj Youth events for Vraj related publications. I may receive Vraj events related emails.*Thank you for allowing me to provide my service to our children at Vraj, land of Lord Shrinathji. I will nurture, train, and respect all children and youth at camp. I understand that it is mandatory to attend volunteer workshop at Vraj during April 28-29, 2023. If I cannot attend the workshop, am not able to attend camp for any reason or may not be selected to volunteer at Vraj camp, early camper registration of my child (if made using camp volunteer token) will be cancelled. Regular Refund policy will be applicable. I understand that I have to arrange for my own transportation to and from Vraj. I understand that I have to stay an entire camp week from Sunday to Saturday. I must remain impartial and provide equal care and attention to each and every camper. I will not provide any special treatment to my child or relative. In case of an emergency, my child will contact his/her Counselor. If needed, their Counselor will consult the Camp Director. I understand that due to certain limitations, camp management is not able to accommodate and support volunteers with special needs such as daily Seva, special dietary and living requirements. I understand that any medical bills will be paid in full by me, including co-payments, if it is required in case of emergency during my stay at the camp. Vraj is not liable for any medical bills. I understand that I can use my cell phone and/or computer ONLY in my room. Cell phone use is prohibited during camp hours except for camp business. Photography and videography is NOT permitted except during Friday night camp-fire or Garba night. I understand that this gathering is an informal family type of gathering, and that the institution does not assume any legal responsibility of any attendee. I hereby release PMVS and its associates, workers and volunteers of any liability arising from any accidents or injuries that may occur while attending the gathering. Vraj is not liable for payment of any medical and/or any other expenses. I understand that hazing and bullying is criminal act and will not be tolerated at Vraj Youth Camp. All parties involved including witnesses have a responsibility to immediately report all incidents directly to the Camp Director with all necessary details. Without such cooperation, the Camp Director will not be able to take any immediate action. As applicable, appropriate action will be taken by the camp management. I understand that I will be sent home on finding of Possession of Illegal drugs, E-Cigarettes and/or Cigarettes, alcohol, illegal drugs, weed/marijuana or any other non-camp appropriate items. Vraj camp is smoke and drug free. It is important for everyone to follow all Camp rules and regulations. Rules and Regulations (Volunteer Handbook) can be found on the vrajyouth.org website. I agree to report any activities committed by myself or other members during the time at camp including, but not limited to smoking/vaping, consuming alcohol, illegal drugs, weed/marijuana and/or gambling of any kind. I agree to report any concerns that may be a sign or symptom of COVID-19 from either myself or another member during camp. I have read the consent and will abide by the vaccination policy set by VYC and follow safety protocols during camp. I, undersigned, hereby assume complete financial and other responsibility for all and every health and accident related expense on Vraj premises or on any excursions I may take part in while attending Vraj Camp. I voluntarily waive, release, and hold harmless Vraj / PMVS, its board, employees, and other volunteers from all claims, accidents, injuries, or death that may result from any act or activities during the camp. I provide permission to use my photos taken at Vraj Youth events for Vraj related publications. I may receive Vraj events related emails. I have read the consent and understand Vraj Camp Policies.Signature* First Last I am interested in volunteering at and/or attending:*Vraj Youth Outreach events benefit our local Vraj community. Volunteering at Vraj Temple events can qualify you to request an early camper registration token for 2024 camps. Please visit vrajyouth.org for detailed information. Vraj Temple Rangotsav on March 5, 2023 Vraj Youth Easter Eggstravaganza on April 7-8, 2023 Vraj Temple MahaPrabhuji Utsav on April 16, 2023 Vraj Temple Patotsav on May 28, 2023 Vraj Temple Amrakunj/Fireworks on July 1, 2023 Vraj Temple Nand Mahostav on September 10, 2023 Vraj Temple Rasotsav on October 28 2023 Vraj Temple Annakut on November 19, 2023 Vraj Youth Outreach Events - TBD Vraj Youth Networking Events - TBD None of the above List Add RemoveCommentsThis field is for validation purposes and should be left unchanged. Δ