- GLAM CAMP VOLUNTEER FORM -


We will review applications as they are received. All Volunteer selections will be contingent on 

positive references, criminal background check, and the completion of comprehensive Medical 

History/Physical forms. Medical forms will be provided once an applicant has been accepted. 

PLEASE NOTE: Completed Medical History forms and Camp Waivers ARE REQUIRED in 

order to attend GLAM Camp as a volunteer even after being accepted.


GENERAL INFORMATION
Name *
Name
Phone *
Phone
Address *
Address
Date of Birth *
Date of Birth
EMPLOYMENT
Phone *
Phone
Address *
Address
Phone *
Phone
Address *
Address
PERSONAL OR PROFESSIONAL REFERENCES (NOT RELATED / 18+ YEARS OF AGE
Name *
Name
Phone *
Phone
Address *
Address
Name *
Name
Phone *
Phone
Address *
Address
Name *
Name
Phone *
Phone
Address *
Address
Have you been referred by any GLAM Camp volunteers or families: (please list)
Family/Volunteer Name
Family/Volunteer Name
Phone
Phone
Address
Address
ALL QUESTIONS MUST BE ANSWERED TO BE CONSIDERED FOR VOLUNTEER POSITIONS
Permission to Treat: I hereby give permission to the medical personnel selected by the GLAM Camp’s Director to provide routine health care; to administer medications; to order x­ray's, routine tests, treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for me/or my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp director to secure and administer treatment, including hospitalization, for:
(Volunteer or staff person’s name) *
(Volunteer or staff person’s name)
Date *
Date
Signed parent or legal guardian if under the age or eighteen
Signed parent or legal guardian if under the age or eighteen
Date
Date
In the event of an emergency please contact: *
In the event of an emergency please contact:
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Please Remit All Forms To: GLAM Camp, Personnel Dept.,8488 Old Ranch Road, Orangevale CA 95662 Email: info@glamcampforgirls.org WebSite: http://www.glamcampforgirls.org