DEPARTMENT OF CULTURAL RESOURCES CAMP COUNSELOR APPLICATION
Summer Camp – June 13 - July 18am-4pm
Camp Counselors at the City of Savannah’s Department of Cultural Resources Summer Camps will work with youth grades 1-7 in a volunteer role. Responsibilities include assisting teachers and staff with activities and helping campers with projects and escorting them around the facility. 2022 dates are June 13 – July 1*, the hours are 8:00am - 4:00pm, Monday through Friday.
*note that Week 2 is a 4-day camp. Juneteenth is a City holiday that will be observed on June 20.
I consent for my participation in the
programs sponsored by the City of Savannah. In consideration of my participation in the program, I
hereby agree to assume all the risks and hazards incidental to said participations and do further agree to waive all claims against and
release, absolve, indemnify and otherwise hold harmless the City of Savannah, its employees, administrators, agents and assigns and
others who assist the above, for any loss, damages or personal injuries that I may receive as a result of such
I hereby grant permission for the City of Savannah to use my likeness/image in photographs
and videos for purposes of documentation and use in newsletters, brochures, publications, webspace and other media; and
understand and agree I will make no monetary or other claim against the City of Savannah for the use of these images.
I understand the City of Savannah does NOT administer medications. I understand
it is my responsibility to make the City of Savannah aware of any known personal medical condition(s) and attest
to providing this information. I understand that there are some risks inherent in the activities that
are included in the Program, but willingly assume these risks in order to participate, and I give
permission for Camp Staff to provide CPR and First Aid and/or emergency medical care or treatment to be provided by an
emergency medical technician (ambulance EMT), physician, surgeon, nurse, doctor’s assistant, or medical care facility that may be
I/WE HAVE READ, FULLY UNDERSTAND AND AGREE TO ALL OF THE ABOVE PROGRAM TERMS AND INFORMATION. My typed name in the box above will act as an electronic signature. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. By signing this application I agree that the information given is correct and complete to the best of my knowledge.
**Applicants under 18 will require a separate signature approval from the parent/guardian listed in the application.
This field is not part of the form submission.
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