Step 1 of 4 25% About YouName(Required) First Last Gender(Required) Male Female Preferred Name(Required) Please provide the name you typically go by. Email(Required) Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone(Required)Birthdate(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Home Church and City(Required) Have you volunteered with Camp Freedom before?(Required) Yes No If yes, how many camps have you attended?Have you completed Child Protect Training before?(Required) Yes No If yes, when did you last complete Child Protect Training? Are you available Tuesday, June 17, 2025 (morning) through June 21, 2025 (mid-day)?(Required) Yes No Are you able to attend a pre-Camp Meeting on Monday, June 16?(Required) Yes No Your Calling & GiftsWhat compels you to serve with Camp Freedom?(Required)What are some of your gifts?(Required)What area(s) would you feel comfortable serving in?(Required) Medical Team Kitchen Team Cabin Leader Security Team Setup/Teardown Teams Recreation Team Prayer Team Transportation Team Runner Anywhere Needed Emergency ContactEmergency Contact(Required) First Last Emergency Contact Phone(Required)If desired and if your primary emergency contact is also expected to be at Camp Freedom, please submit a second emergency contact who is NOT volunteering at Camp Freedom and should be notified in the event of an emergency.Emergency Contact First Last Emergency Contact Phone Release of Pfrimmer's Chapel Church Inc.Consent(Required) I agree to the release of Pfrimmer’s Chapel Church Inc.I agree to indemnify, defend, and hold harmless Camp Freedom Staff, Pfrimmer’s Chapel Church Inc., O’Bannon Woods State Park, and each of their respective agents, employees, officers, volunteers, directors, and representatives from and against any and all claims, liabilities, damages, losses, costs (including court costs and discovery expenses), and attorney’s fees arising out of or related to my participation in Camp Freedom activities or my use of, or presence on, any real or personal property owned, leased, or controlled by Pfrimmer’s Chapel Church Inc., O’Bannon Woods State Park, or their affiliates. This includes, but is not limited to, claims arising from any act, omission, or negligence on my part.Volunteer Name(Required) First Last Volunteer Signature(Required)Date of Signature(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 DonationIf you are placed in a volunteer role, registration is free. However, if you feel led, we invite you to consider a donation to offset the cost. Would you like to make a donation?(Required) Yes No Donation If you are placed in a volunteer role, registration is free. However, if you feel led, we invite you to consider a donation to offset the cost. Enter amount above.Total Credit CardCard Details Cardholder Name Δ
