2016ncsaltchildrensculturecampteenvolunteers.docVIP

?2016 NCSALT Children’s Culture Camp Teen volunteers Registration Form Organized by: 北加州台灣學校聯合會 Non-profit organization Northern California School Association for Languages of Taiwan Email: ncsalt2003@, *** Volunteers will be offered service hours 8 hrs a day Volunteers are required to come at least 4 whole days or they are not eligible for service hours. We don’t accept volunteers who come less than four days. Sponsor：金山灣區華僑文教中心South Bay Culture Center Date: July 11-15, 2016（Mon～Fri） Time: High School student Volunteer Hours, 9:25am～16:45pm Camp Site: 金山灣區華僑文教服務中心.100 S. Milpitas Blvd., Milpitas.CA 95035 Registration: Mail-in applications only. Registration Deadline : July 4, 2016 Will send confirmation by email Mail Recipient Address: NCSALT / 2785 Warburton Ave. Santa Clara, CA 95051 ?Cut Here Apply Volunteer follow by question on ○ □ mark “X” I love kids. I know how to play with Taiwan top □ , Taiwan yo yo □ , and jump rope □ . I can dance. I like art and crafts. I can speak or write Mandarin □ , Hakka □ , Taiwanese □ . Student Name: English Chinese Parents Name: Father Mother Student Date of Birth : Gender: F / M Student School Name : Current Grade: Phone No: Home - （Cell） - Office - Home address： City: State: Zip: Email: Emergency Contact person phone : Please check all of your volunteer time : □7/11, □7/12, □7/13 , □7/14, □7/15 Lunch：□non-vegetarian □vegetarian Waiver: I, being the parent or legal guardian_______________________________, on the behalf of myself and the student, hereby student name waive all our rights, claims and actions which we may have or hereafter may have against NCSALT, its Board of Directors, Officers, Teaching faculties, employees and agents, arising out of, but not limited to the student’s volunteer at the camp and his or her use of the camp facilities and premises. I have read and fully understand the meaning and consequences of the waiver and thus voluntarily execute this waiver. NCS