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Summer Camp 2022 _ Camp Counselor Application

  1. Camp Counselor at Summer Camp 2022!


    Summer Camp – June 13 - July 1

    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.

  2. mm/dd/yyyy
  3. Please Complete if Under 18
  4. Classroom Assistant Questions
  5. Have you ever done volunteer work?*
  6. Have you worked with children?*
  7. Are you currently employed?*
  8. Summer Camp runs June 13 - July 1 (Monday-Friday). Are you available all three weeks?*
  9. Camp hours are 8am – 4pm, when are you available to work?*
  10. Do you have your own transportation?*
  11. Waivers & Releases
  12. Indemnification/Hold Harmless Agreement:

    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 participation.

  13. Photo/Video Release:

    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.

  14. COVID-19:
    I/We understand COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact and participating in City of Savannah programs and accessing City facilities could increase the risk of contracting COVID-19. The City in no way warrants that contracting COVID-19 or other contagions will not occur through participation and use of City programs/facilities.
  15. Medical Conditions/Medical Release:

    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 required. 

  16. 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.

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