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PO Box 412, Highland, IL 62249, USA

Ph: (618) 654-4020- St. Louis

  (941) 302-8412-Florida

Fax: (618) 654 4499

Day Volunteer Application

Please complete and click the "submit" button at the bottom if you would like to help at camp, but cannot stay for the entire week. We need volunteers for 1, 2, or more days and available dates/times are listed below. 

I'm applying to be:

How would you like your name to appear on your camp name tag?

List allergies below. Include meds/food/animals/insect stings/etc. and reactions.

List dietary restrictions and/or special foods required, if any, below.

Please indicate which day/s and time/s you would like  to come to camp.

Dates/Times

If you would like to help during a time not listed, please note the requested date/time below. Due to the camper activity schedule, we may not be able to accommodate special requests outside of those listed above. 

Do you have a valid driver's license?
Has your driver's license ever been suspended or revoked?
Do you use tobacco products of any kind?
If so, are you willing to give up tobacco entirely while on-site at camp?
Have you ever been terminated from any employment or service in a volunteer position, or had employment or authorization to hold a volunteer position denied, for reasons relating to allegations of actual or attempted sexual discrimination, harassment, exploitation, or misconduct; physical or sexual abuse of a child; or financial misconduct?
Is there any fact or circumstance involving you or your background that would call into question you being entrusted with the responsibilities of the position for which you are applying?

How many years have you previously volunteered at Camp HIS KIDS?

Are you able to completely turn off your cell phone & other devices connecting to the internet and have no access to those devices for the entire time you are at Camp HIS KIDS?

Our cell phone policy is that we do not allow volunteers, staff, campers, and LITs to use cell phones or other electronic devices while at camp for the safety and security of our campers and staff. (Per best practices of the American Camping Association and the Children's Oncology Camping Association). If you need to be reached for emergency purposes while at camp, please give your friends/family the HIS KIDS emergency cell phone number:   (618) 654-4020

Are you willing to engage in the potentially physically demanding schedule that is required during your time at camp?
Do you have any condition that would prevent you from picking up a child or pushing a wheelchair?
Are you currently under treatment for any medical or mental health issues?
Are you CPR trained and Certified?
Are you lifeguard trained?
Do you have an up-to-date lifeguard certification?

If CPR trained & certified, please include a copy of your up-to-date certification.

CPR certification upload
Max File Size 15MB

How did you hear about Camp HIS KIDS?

Please upload a copy or photo of your driver's license or state issued ID card below.

License/ID Upload
Max File Size 15MB

I verify that the information provided on this application is correct to the best of my knowledge.

In order to provide a safe and secure environment for those children and youth who participate in our programs, this form is to be completed by all applicants involved in the supervision or custody of minors (ages 18 and under).  We have profound legal and moral obligations to reduce the possibility of child abuse from ever occurring.  Adults who have been convicted of either child sexual or physical abuse should not volunteer service in any HIS KIDS sponsored activity or program for children or youth.  The information obtained through this application will remain confidential and only be seen by personnel needing to review this record for the HIS KIDS program or in the case of a legal investigation.