CMDE Summer Stars 2025 Volunteer Application for Teens 13-18 yrs

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Referred by (how did you hear about us?)

Emergency Contact Name

First

Last

Emergency Phone Number

Emergency Email

Name of School and last grade finished or place of employment

Please list any allergies, medications or special conditions:

employment fulfilling Phone

Please write briefly why you would like to volunteer and if you have any special skills or training

Are you fulfilling a community service or other school-related requirement? If so please describe & tell us how many hours needed.

What camp would you like to volunteer?

Girls Summer Stars Camp –July. 28 - August 8 . M-F 9:20 am – 2:40pm
Boys Summer Stars Camp – August 11 – August 22 M-F 9:20 am – 2:40pm

Photo Release agreement

CMDE has permission to use photographs or video of me or my child which are sometimes used in published articles, on TV, or on the internet.

CMDE Policy – For all medical emergencies, CMDE will attempt to contact a parent or guardian. In the event of a serious medical emergency, 911 will be called. Students will be transported to Hackensack University Medical Center, 30 Prospect Avenue, Hackensack (201) 996-3000.

Summer camp volunteer application

CMDE Summer Stars 2025 Volunteer Application for Teens 13-18 yrs