Camp Registration for Volunteers, Staff and Guests

REGISTER HERE

Step 1 of 19 - Primary Contact Information

Data Security Notice

The purpose of the information requested in this application is to assist Full Life Ahead Foundation staff with Camp programming and family selection. Access to your data is limited to the Foundation staff and is kept in a secure and redundant environment. Your information will not be shared, sold, rented, or otherwise distributed to another party.

Let’s Get Started!

REGISTRATION TYPE

What type of registration are you completing?(Required)

Presentation and Supplies Needs

If you are a Program Leader or Presenter at camp, please tell us if you have any presentation needs. Please be specific as possible. Examples: Projector, microphone, laptop for presentation (presentations need to be sent prior to camp, please), or handouts printed (email to amy@flaf.team). Send us whatever your list is, and we will be sure to let you know the status and if there are any questions.

Your Contact's Information

The primary contact for Camp should be a parent, caregiver, or guardian that is primarily responsible for the individual with a disAbility.

Your Name(Required)

Please provide your name as you would like to be referred - this is also the name that will be printed on your name badge.

First Name Last Name Suffix

Mailing Address(Required)

Street Address City State ZIP Code

Your State County - NOT COUNTRY(Required)

NOTE: NOT USA, but the County in your State Example: "Elmore" or "Jefferson". Please provide the Alabama County (not country) in which you live. We use this information to obtain grants and other funding.

Your Email(Required)

Email for all Camp correspondence

Your Cell Phone(Required)

Your Gender(Required)

Your Birthdate(Required)

Your T-Shirt Size(Required)

Ethnicity(Required)

Many of our grant providers require reporting on this information.

Race(Required)

Many of our grant providers require reporting on this information.

Your Ambulatory Status(Required)

Please indicate if you have any mobility limitations so that we can try to assign a cabin best suited for your needs.

Your Allergies(Required)

Enter None if no food or medication allergies.

Second Adult's Information: Another adult that is NOT planning to volunteer or attend as a family member

IMPORTANT: If your guest will be volunteering, they must complete a separate Volunteer Registration form.

2nd Adult's First and Last Name(Required)

Enter the name of a second adult attending with you that will NOT be volunteering or attending as a family member.

First Last Suffix

2nd Adult's Mailing Address Same?(Required)

Is this individual's Mailing Address the same as the Primary Contact?

2nd Adult's Mailing Address(Required)

Street Address City State ZIP Code

2nd Adult's State County - NOT COUNTRY(Required)

2nd Adult's Email(Required)

2nd Adult's Cell Phone Number(Required)

2nd Adult's Gender(Required)

2nd Adult's Birthdate(Required)

2nd Adult's T-Shirt Size

2nd Adult's Ethnicity(Required)

2nd Adult's Race(Required)

2nd Adult's Family Role(Required)

During Camp, each family member will be divided into separate programs based on age and family roles. Please Note: All guardians, whether parent, grandparent, aunt/uncle, etc., will be included in the Parent Program.

2nd Adult's Allergies(Required)

Enter None if no food or medication allergies.

2nd Adult's Ambulatory Status(Required)

Please indicate if you have any mobility limitations so that we can try to assign a cabin best suited for your needs.

2nd Adult - How many Family Weekends has this adult attended?(Required)

2nd Adult's Arrival Day(Required)

Which day will this individual arrive at camp?

2nd Adult's Attendance Days(Required)

Which days will you be attending camp?

Thursday

Friday

Saturday

Sunday

Will this adult be spending the night?(Required)

Some of our volunteers live near the Camp and choose not to stay overnight.

2nd Adult's Attendance Nights(Required)

We invite all of you to join us for the full weekend experience - we promise you won't regret it! What nights, if any, will you be staying with us at Camp? PLEASE CHECK ALL THAT APPLY

Thursday night

Friday night

Saturday night

2nd ADULT'S BACKGROUND SCREEN REQUIREMENT

We take the safety of our families and volunteers very seriously and therefore require background screens for all approved volunteers age 18 and over. We will ONLY run your background if you are spending the night at Camp and if it is has been more than 12 months since your last screen. Please review the Release Form and screening questions carefully and ensure accuracy with your information to prevent any delays.

2nd ADULT'S BACKGROUND SCREEN CONSENT

Your electronic acceptance of this document is your official electronic signature. You are agreeing that you have read this waiver and agree to its content. You are also certifying that you are an adult over 18. ENTER YOUR FIRST AND LAST NAME BELOW THE DOCUMENT TO ELECTRONICALLY SIGN YOUR APPROVAL.

REQUIRED BACKGROUND INFORMATION

2nd Adult's Full Legal Name(Required)

Enter your First, Middle and Last Name as it appears in legal documents such as your passport or drivers license

Legal First Name Legal Middle Name Legal Last Name

Social Security Number(Required)

In order to complete a background screen, we will need your Social Security Number. This information is not shared or stored except for the sole purpose of completion of your Background Screen.

Teen or Young Adult with a DisAbility Attending?(Required)

Will a young adult/teen with a disAbility be coming with you to Camp?

Child or Sibling Attending Camp(Required)

Do you have a child or sibling under 18 attending camp with you that is not volunteering?

Sibling/Child #1 Information

Sibling/Child 1's Name(Required)

First Last

Sibling/Child 1's Mailing Address Same?(Required)

Is this individual's Mailing Address the same as the Primary Contact?

Sibling/Child 1's Mailing Address(Required)

Street Address City State ZIP Code

Sibling/Child 1's State County - NOT COUNTRY(Required)

Sibling/Child 1's Gender(Required)

Sibling/Child 1's Birthdate(Required)

Sibling/Child 1's T-Shirt Size

Sibling/Child 1's Ethnicity(Required)

Sibling/Child 1's Race(Required)

Sibling/Child 1's Ambulatory Status(Required)

Please indicate if you have any mobility limitations so that we can try to assign a cabin best suited for your needs.

Sibling/Child 1's Allergies(Required)

Enter None if no food or medication allergies.

Sibling/Child 1's Things to Celebrate(Required)

List 3 different things we can celebrate with your teen/young adult. For example, have they started a new job, learned how to make their bed, learned how to do something new? No celebration is too small, but we really need THREE!

Are there more Siblings or Children attending Camp?(Required)

Sibling/Child #2's Information

Sibling/Child 2's Name(Required)

First Last

Sibling/Child 2's Mailing Address Same?(Required)

Is this individual's Mailing Address the same as the Primary Contact?

Sibling/Child 2's Mailing Address(Required)

Street Address City State ZIP Code

Sibling/Child 2's State County - NOT COUNTRY(Required)

Sibling/Child 2's Gender(Required)

Sibling/Child 2's Birthdate(Required)

Sibling/Child 2's T-Shirt Size

Sibling/Child 2's Ethnicity(Required)

Sibling/Child 2's Race(Required)

Sibling/Child 2's Ambulatory Status(Required)

Please indicate if you have any mobility limitations so that we can try to assign a cabin best suited for your needs.

Sibling/Child 2's Allergies(Required)

Enter None if no food or medication allergies.

Sibling/Child 2's Things to Celebrate(Required)

Any additional Siblings attending Camp?(Required)

Sibling/Child #3's Information

Sibling/Child 3's Name(Required)

First Last

Sibling/Child 3's Mailing Address Same?(Required)

Is this individual's Mailing Address the same as the Primary Contact?

Sibling/Child 3's Mailing Address(Required)

Street Address City State ZIP Code

Sibling/Child 3's State County - NOT COUNTRY(Required)

Sibling/Child 3's Gender(Required)

Sibling/Child 3's Birthdate(Required)

Sibling/Child 3's T-Shirt Size

Sibling/Child 3's Ethnicity(Required)

Sibling/Child 3's Race(Required)

Sibling/Child 3's Ambulatory Status(Required)

Please indicate if you have any mobility limitations so that we can try to assign a cabin best suited for your needs.

Sibling/Child 3's Allergies(Required)

Enter None if no food or medication allergies.

Sibling/Child 3's Things to Celebrate(Required)

Emergency Contact

1st Emergency Contact Name(Required)

First Last

1st Emergency Contact Phone Number(Required)

2nd Emergency Contact Name(Required)

First Last

2nd Emergency Contact Phone Number(Required)

REQUIRED ODDS AND ENDS

Please read each carefully so that you understand what you are signing electronically.

VOLUNTEER CAMP RULES ACKNOWLEDGEMENT(Required)

Do you acknowledge that you have read and will follow these Important Camp Rules and the Camp Safety Rules?

I agree

I disagree

Reason for Disagreeing with Camp Rules(Required)

WAIVERS AND RELEASES

WAIVERS, RELEASES AND POLICY ACKNOWLEDGEMENT(Required)

I CERTIFY THAT I HAVE READ THE ACCIDENT WAIVER, PROTECTED HEALTH INFORMATION AGREEMENT, MEDIA RELEASE FORM, AND COVID 19 RELEASE, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. Your electronic acceptance of this document is your official electronic signature. You are agreeing that you have read this waiver and agree to its content. You are also certifying that you are an adult over 18.

I agree

I disagree

Reason for Disagreeing with Waivers, Releases and Policies(Required)

LINENS AND SCHOLARSHIPS

You can always bring your linens from home (be sure to bring a blanket!) but you can also reserve a set to borrow. A linen set includes 1 towel, 1 washcloth, 2 flat twin sheets, and 1 pillow case. BLANKETS ARE NO LONGER INCLUDED IN LINEN SETS.

LINENS: If you won't be bringing linens from home, how many linens will you need to borrow?(Required)

Linen rental requests must be made when registering - FLAF does not guarantee that there will be extra linens available at Family Weekend check in. PLEASE NOTE: Although Full Life Ahead Foundation does not require any payment for linen rentals from our participants, FLAF is charged a flat rental fee for each linen that is rented. Please be sure to return all linens as indicated in the Checkout Checklist.

Please enter a number from 0 to 8.

DONATION TO FULL LIFE AHEAD FOUNDATION?(Required)

Would you like to help sponsor a family at Camp by donating? It costs families $50 to attend camp, but a scholarship can be requested by any family. Your donation could make the difference for a family that may not otherwise be able to attend.

FAMILY SCHOLARSHIP DONATION

Please enter the amount you would like to donate. No amount is too small.

How would you like to make your donation?(Required)

You can submit your credit or debit card information with your registration, send us a check, or bring your donation to camp (we can also run cards at camp).

Total

Credit or Debit Card Information(Required)

If you entered a Family Scholarship Donation amount, enter your card information here to process. We accept all major credit cards for your registration fees. Please note that your information is kept private and confidential and processed through Square.

Cardholder Name

Card Details

REGISTER HERE

Data Security Notice

Let’s Get Started!

REGISTRATION TYPE

Your Contact's Information

Camp Information

BACKGROUND SCREEN REQUIREMENT

BACKGROUND SCREEN CERTIFICATION

Second Adult's Information: Another adult that is NOT planning to volunteer or attend as a family member

2nd ADULT'S BACKGROUND SCREEN REQUIREMENT

REQUIRED BACKGROUND INFORMATION

Teen or Young Adult with a DisAbility

2nd Teen or Young Adult with a DisAbility

Sibling/Child #1 Information

Sibling/Child #2's Information

Sibling/Child #3's Information

Emergency Contact

REQUIRED ODDS AND ENDS

WAIVERS AND RELEASES

LINENS AND SCHOLARSHIPS

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