Thank you for your interest in volunteering at the Kids Create! Summer Art Camp at VisArts at Rockville. You must be at least 15 years old.

Please print clearly and return completed form to: Camp Volunteer Coordinator, 155 Gibbs Street, Suite 300, Rockville, MD 20850 or email After receiving the completed form, we will contact you to come in for an interview. If you have any questions, please contact Kim Freedman at (301) 315-8200.

Name: DOB: / / Age: Your School:

Address: Phone (Day):

City, State, Zip: Phone (Eve):

Email: Best Time to Contact You:

Parent Contact (1): Cell Phone: _____

Parent Contact (2): Work Phone: _____

Please indicate which session(s) and medium you prefer. If choosing multiple sessions and mediums, specify the order of preference numbering each starting with 1 as most preferred.

_____ Session 1: June 23 – July 3

_____ Session 2: July 7 – July 18

_____ Session 3: July 21 – August 1

_____ Session 4: August 4 – August 15

Have you volunteered at VisArts Summer Camp before?

What age would you prefer to work with? List all ages that interest you, with your favorites listed first: 5-6, 7-9, 10-12

First Choice: _____ Second Choice: ____

What skills or talents do you have that will be an asset during your volunteering?

What do you hope to gain from your volunteer experience at the Art Camp?

As a volunteer for the Art Camp, you would be responsible for:

v  Checking in at the camp facility between 8:00 – 8:15am each morning of camp.

v  Assisting the instructor you are assigned to in set-up and clean-up.

v  Bringing your own lunch and drink.

v  Being attentive and proactive in the classroom.

v  Remaining on the facility until the end of the camp day at 3:30pm.

v  Volunteering for the entire duration of the session(s) selected/assigned to you.

v  Notifying VisArts office (301)315-8200 immediately if you are sick and/or unable to volunteer.

v  Turning off cell phone and not using it during camp day.

v  Having no friends or family visit you at the camp facility during the camp day.

I understand that the VisArts Kids Create! Summer Art Camp is a drug-free, smoke-free and alcohol-free school environment and I agree to abide by the above rules and regulations.

Signature: Date: