Thank you for your interest in being a volunteer at Camp Stepping Stones. Please read this application carefully and complete all sections. Each volunteer must complete a required Camp Stepping Stones training. Children 12 to 15 years of age who volunteer must be accompanied by a parent or guardian who will also attend the training and volunteer at camp.

Volunteer's Name (Ages 12-15)

First Name:*

Last Name:*

Pronouns:

Age on Camp day:*

Street Address:*

City:*

State:*

Zip:*

Phone:*

Email Address:*

T-Shirt Size:

Have you received the COVID19 vaccine primary series (two doses)? Please note this is a requirement of all Care Dimensions volunteers.*

Parent/Guardian Information:

First Name:*

Last Name:*

Pronouns:

Street Address:*

City:*

State:*

Zip:*

Phone number where I can be reached during Camp:*

Email Address:*

Parental/Guardian Permissions:

I, , give permission for my child, , to volunteer at Camp Stepping Stones, a bereavement summer camp sponsored by Care Dimensions. If accepted as a volunteer, I understand that my child will be provided with the training necessary for the safe and responsible performance of his/her assigned tasks. *

I understand that I am required to also volunteer at Camp Stepping Stones and I agree to accompany my child to a volunteer training session. I will support my child by respecting his/her volunteer commitment and providing transportation to/from the training session and Camp day. I understand that my child and I might be assigned to different tasks/activities at Camp depending on the needs.*

As part of this volunteer experience, I understand that my child might be photographed or filmed. I hereby grant Care Dimensions permission to use photographs and/or video footage of my child, or statements made by him/her, in any publicity, advertising, website or other similar materials. I agree that there will be no compensation for the use of images or statements made by my child, and I hereby release Care Dimensions from any liability in connection with the making, publication, distribution or use of such materials.* “I understand that photos by a camp photographer may be taken and used in public release or for marketing purposes as needed. If I do not give permission for this, I understand I need to contact the Camp Stepping Stones staff”

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Since 1978, Care Dimensions, formerly Hospice of the North Shore, has provided comprehensive and compassionate care for individuals and families dealing with life-threatening illnesses. As the non-profit leader in advanced illness care, we offer services in over 100 communities in Massachusetts.

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Camp Volunteer Registration Under 16

Volunteer's Name (Ages 12-15)

Have you received the COVID19 vaccine primary series (two doses)? Please note this is a requirement of all Care Dimensions volunteers.*

Parent/Guardian Information:

Parental/Guardian Permissions:

I, , give permission for my child, , to volunteer at Camp Stepping Stones, a bereavement summer camp sponsored by Care Dimensions. If accepted as a volunteer, I understand that my child will be provided with the training necessary for the safe and responsible performance of his/her assigned tasks. *