VOLUNTEER - 2023 Summer Fun for Everyone

If you're new to Jacob's Chance, welcome! We're so glad you're interested in volunteering. No prior experience is required to volunteer!

Volunteer for 2023 Summer Fun for Everyone!

Summer Fun for Everyone is a multiple-week series of summer camps offered by Jacob's Chance for campers ages 8-40 with developmental, intellectual, and physical disabilities. Through one week of culinary arts camp, another week of arts camp, and a third week of sports camp, campers participate in a variety of enriching activities that are focused on positive self-image, socialization, and wellness.

Jacob's Chance utilizes the buddy system to ensure each camper is able to participate to their maximum potential. We welcome volunteers ages 12+ to work individually or in small groups with campers to provide companionship, provide any assistance they may need, and ensure the campers have successful experiences. Volunteers will NOT be asked/permitted to assist with wheelchair transfers/toileting/hygiene needs, or anything that would make them or the camper uncomfortable.

Mandatory volunteer training/camper social on Wednesday, June 14th from 5-7:30pm at Deep Run Rec Center (9900 Ridgefield Pkwy, Richmond, VA 23233). Please let us know if you can't attend this date.

June 19-23rd: Culinary Arts Camp

Glen Allen Baptist Church (3028 Mountain Rd, Glen Allen, VA 23060)

9:30-12pm (younger campers)

1:30-4pm (older campers)

June 26-30th: Sports Camp

Tuckahoe Middle School (9000 Three Chopt Rd, Richmond, VA 23229)

9:30-12pm (younger campers)

1:30-4pm (older campers)

July 10-14th: Arts Camp

Tuckahoe Middle School (9000 Three Chopt Rd, Richmond, VA 23229)

9:30-12pm (younger campers)

1:30-4pm (older campers)

Volunteer for both AM and PM sessions, or choose just one! Volunteers who wish to do both sessions can bring a lunch and stay onsite in between camps.

Volunteer Contact Information

Volunteer Name

First Name

Last Name

Age

Verify Email

Cell Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Organization/School

Please tell us what organization/ business or school you are affiliated with. If you are not from either please indicate "none".

Tell us about you...

Do you have experience working with people with disabilities? Experience is NOT necessary to volunteer.

Race

Please choose all that apply.

Caucasian

Black or African American

Asian

Indigenous American or Native American

Native Hawaiian or Pacific Islander

Hispanic or Latino

Not of Hispanic origin

Other

Gender Identity

Male

Female

Non-binary

Other

Prefer to self identify below

Preferred pronouns and/or gender identity

Volunteer Commitment Dates

Which camp(s) would you interested in volunteering for? Select all that apply!

Volunteers are the backbone of Jacob's Chance. Our participants depend on you for assistance and friendship. When committing, please do everything in your power to attend each day of camp.

June 19-23rd: Culinary Arts Camp **(AM SESSION)**

June 19-23rd: Culinary Arts Camp **(PM SESSION)**

June 26-30th: Sports Camp **(AM SESSION)**

June 26-30th: Sports Camp **(PM SESSION)**

July 10-14th: Arts Camp **(AM SESSION)**

July 10-14th: Arts Camp **(PM SESSION)**

Risk, Media and Concussion Waivers

Waiver

In consideration of being allowed to participate in any way in the program, related events and activities, and use of equipment, I the undersigned, acknowledge, appreciate, and agree that:

The risk of injury from the activities involved in this program is significant, including the potential for paralysis and death.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation.
I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the Host, it’s officers, officials, agents, and/or employees, other participants, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to a person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
COVID-19 ACKNOWLEDGMENT AND WAIVER: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. While Jacob’s Chance is taking reasonable steps and precautions to lessen the risk of transmission of COVID-19 or other communicable diseases, and while Jacob’s Chance is following CDC guidelines and applicable state and county health department guidelines and orders, it is not possible to prevent against the presence of these diseases. THEREFORE, I RECOGNIZE AND UNDERSTAND THAT Jacob’s Chance is not responsible in any manner for any risks related to communicable diseases in connection with Participant’s participation in the activities. Specifically, I understand that COVID-19 is a highly contagious and dangerous disease and that contact with the virus that causes COVID-19 may result in loss, damage, expense or significant personal injury, sickness or death. I am fully aware that participation in the Activities carries with it certain inherent risks related to the transmission of communicable diseases that cannot be eliminated regardless of the care taken to avoid such risks, including, but not limited to: (1) the risk of coming into close contact with individuals or objects that may be carrying a communicable disease; (2) the risk of transmitting or contracting a communicable disease, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from communicable diseases or the treatment thereof (“Inherent Risks”). Further, I understand that all of the Inherent Risks are not fully understood and that the exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine. I hereby voluntarily accept and assume all risk of loss, personal injury, sickness, death, damage, and expense for myself arising from such Inherent Risks. Furthermore, I represent and warrant that I do not knowingly carry any communicable diseases that may be transmitted during participation in the activities.

Health Statement

I will notify Jacob’s Chance ownership or employees if I suffer from any medical or a health condition that may cause injury to myself, others, or may require emergency care during my participation.

1365 Overbrook Rd, Richmond, VA 23220

804-640-8109

info@jacobschance.org

Media Statement

By agreeing below, I hereby grant and convey to Jacob’s Chance all right, title and interest in and to record my name, image, voice, or statements including any and all photographic images and video or audio recordings made by Jacob’s Chance.

Venue

The Venue of any dispute that may arise out of this agreement or otherwise between the parties to which Jacob’s Chance or its agents is a party shall be either the Richmond City, VA Justice Court, or the County or State Supreme Court in Richmond City, VA.

Concussion

Use these provided links to read more on concussions.

https://www.cdc.gov/headsup/pdfs/youthsports/parents_eng.pdf

http://www.ncsl.org/research/health/traumatic-brain-injuries-among-youth-athletes.aspx

http://www.ncsl.org/research/health/traumatic-brain-injury-legislation.aspx

I agree to the terms established by the above waivers:

Yes

Name of individual responding to above waivers:

First Name

Last Name

VOLUNTEER #2

#2 Volunteer Name

First Name

Last Name

#2 Age

#2 Email

Verify Email

#2 Cell Phone

#2 Address (if different than above)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

#2 Organization/School

Please tell us what organization/ business or school you are affiliated with. If you are not from either please indicate none

#2 Tell us about you...

Do you have experience with sports or working with people with disabilities? It is NOT necessary to do either to volunteer.

#2 Race

Please choose all that apply.

Caucasian

Black or African American

Asian

Indigenous American or Native American

Native Hawaiian or Pacific Islander

Hispanic or Latino

Not of Hispanic origin

Other

#2 Gender Identity

Male

Female

Non-binary

Other

Prefer to self identify

#2 Preferred pronouns and/or gender identity

#2 Volunteer Commitment Dates

Which camp(s) would you interested in volunteering for? Select all that apply!

Volunteers are the backbone of Jacob's Chance. Our participants depend on you for assistance and friendship. When committing, please do everything in your power to attend each day of camp.

June 19-23rd: Culinary Arts Camp **(AM SESSION)**

June 19-23rd: Culinary Arts Camp **(PM SESSION)**

June 26-30th: Sports Camp **(AM SESSION)**

June 26-30th: Sports Camp **(PM SESSION)**

July 10-14th: Arts Camp **(AM SESSION)**

July 10-14th: Arts Camp **(PM SESSION)**

#2 Risk, Media, and Concussion Waivers

Waiver

In consideration of being allowed to participate in any way in the program, related events and activities, and use of equipment, I the undersigned, acknowledge, appreciate, and agree that:

The risk of injury from the activities involved in this program is significant, including the potential for paralysis and death.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others and assume full responsibility for my participation.
I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the Host, it’s officers, officials, agents, and/or employees, other participants, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to a person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
COVID-19 ACKNOWLEDGMENT AND WAIVER: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. While Jacob’s Chance is taking reasonable steps and precautions to lessen the risk of transmission of COVID-19 or other communicable diseases, and while Jacob’s Chance is following CDC guidelines and applicable state and county health department guidelines and orders, it is not possible to prevent against the presence of these diseases. THEREFORE, I RECOGNIZE AND UNDERSTAND THAT Jacob’s Chance is not responsible in any manner for any risks related to communicable diseases in connection with Participant’s participation in the activities. Specifically, I understand that COVID-19 is a highly contagious and dangerous disease and that contact with the virus that causes COVID-19 may result in loss, damage, expense or significant personal injury, sickness or death. I am fully aware that participation in the Activities carries with it certain inherent risks related to the transmission of communicable diseases that cannot be eliminated regardless of the care taken to avoid such risks, including, but not limited to: (1) the risk of coming into close contact with individuals or objects that may be carrying a communicable disease; (2) the risk of transmitting or contracting a communicable disease, directly or indirectly, to or from other individuals; and (3) injuries and complications ranging in severity from minor to catastrophic, including death, resulting directly or indirectly from communicable diseases or the treatment thereof (“Inherent Risks”). Further, I understand that all of the Inherent Risks are not fully understood and that the exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine. I hereby voluntarily accept and assume all risk of loss, personal injury, sickness, death, damage, and expense for myself arising from such Inherent Risks. Furthermore, I represent and warrant that I do not knowingly carry any communicable diseases that may be transmitted during participation in the activities.

Health Statement

1365 Overbrook Rd, Richmond, VA 23220

804-640-8109

info@jacobschance.org

Media Statement

Venue

Concussion

Use these provided links to read more on concussions.

https://www.cdc.gov/headsup/pdfs/youthsports/parents_eng.pdf

http://www.ncsl.org/research/health/traumatic-brain-injuries-among-youth-athletes.aspx

http://www.ncsl.org/research/health/traumatic-brain-injury-legislation.aspx

#2 I agree to the terms established by the above waivers:

Yes

#2 Name of individual responding to above waivers:

First Name

Last Name

EMERGENCY CONTACT

Emergency Contact

First Name

Last Name

Emergency Contact Cell

Support the mission! (optional)	Quantity
$25 - Donation
$10 - Donation

Add 3% to my total amount to help cover the payment processing fees

VOLUNTEER - 2023 Summer Fun for Everyone

If you're new to Jacob's Chance, welcome! We're so glad you're interested in volunteering. No prior experience is required to volunteer!

Volunteer for 2023 Summer Fun for Everyone!

*Mandatory volunteer training/camper social on Wednesday, June 14th from 5-7:30pm at Deep Run Rec Center (9900 Ridgefield Pkwy, Richmond, VA 23233). Please let us know if you can't attend this date.*

June 19-23rd: Culinary Arts Camp

Glen Allen Baptist Church (3028 Mountain Rd, Glen Allen, VA 23060)

9:30-12pm (younger campers)

1:30-4pm (older campers)

June 26-30th: Sports Camp

Tuckahoe Middle School (9000 Three Chopt Rd, Richmond, VA 23229)

9:30-12pm (younger campers)

1:30-4pm (older campers)

July 10-14th: Arts Camp

Tuckahoe Middle School (9000 Three Chopt Rd, Richmond, VA 23229)

9:30-12pm (younger campers)

1:30-4pm (older campers)

Volunteer for both AM and PM sessions, or choose just one! Volunteers who wish to do both sessions can bring a lunch and stay onsite in between camps.

Volunteer Contact Information

Volunteer Commitment Dates

VOLUNTEER #2

#2 Volunteer Commitment Dates

EMERGENCY CONTACT

Mandatory volunteer training/camper social on Wednesday, June 14th from 5-7:30pm at Deep Run Rec Center (9900 Ridgefield Pkwy, Richmond, VA 23233). Please let us know if you can't attend this date.