2. Watertown Police Department
   Camp Chance Volunteer Application
4. Last Name*
5. First Name*
7. Maiden or Former Name
9. Home Address*
11. City*
12. State*
13. Zip*
15. Home Phone
16. Work Phone
17. Cell Phone
19. Email Address
20. Date of Birth*
    Date of Birth
22. Place of Work*
23. Work Title*
25. Work Address*
27. Are You a Student?*

    1. Yes
    2. No
28. School Name and Address
30. Please use the section below to select the dates and times you are available to volunteer.
    Camp Chance runs from 8am to 5pm on Tuesday-Thursday for three consecutive weeks. Check the boxes next to the dates/time you are available.
32. Week One

    1. July 18 - Morning
    2. July 18 - Afternoon
    3. July 19 - Morning
    4. July 19 - Afternoon
    5. July 20 - Morning
    6. July 20 - Afternoon
33. Week Two

    1. July 25- Morning
    2. July 25- Afternoon
    3. July 26- Morning
    4. July 26- Afternoon
    5. July 27- Morning
    6. July 27- Afternoon
35. Your T Shirt Size*

    1. S
    2. M
    3. L
    4. XL
    5. 2XL
    6. 3XL
    7. 4XL
    8. 5XL
36. Will you be eating lunch?*

    1. Yes
    2. No

    Breakfast is provided for youth only
38. Provide the name and phone number of a reference*
40. Provide the name and phone number of a second reference*
42. Are you willing to be photographed and/or videotaped for media releases and/or future promotional use by Camp Chance or its partners (Joy Ranch, Bramble Park Zoo, etc.)?*

    1. Yes
    2. No
44. I AGREE TO ABIDE BY THE RULES SET FORTH BY CAMP CHANCE AND THAT I HAVE COMPLETED THE APPLICATION TO THE BEST OF MY KNOWLDEDGE. BY TYPING MY NAME BELOW, I UNDERSTAND THAT A BACKGROUND CHECK WILL BE CONDUCTED.*
    Your typed name above is the electronic equivalent to your signature.
46. Parent or guardian name (for those volunteers under age 18)
    Parent or Guardian permission is required for any volunteers under 18 years of age. Sixteen years of age is the minimum age to volunteer for Camp Chance.
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field