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Diocesan Work Camp 2018

Apr 13, 2018

Please click HERE to read information regarding the 2018 Diocesan Work camp before selecting a form to fill out. PLEASE NOTE* the early bird registrations need to be turned in NO LATER than April 25, 2018 to sbrockwell@epiphanychurch.org so she can then turn them into the Diocese. There are 3 registration forms below, please only fill out ONE. The forms below are 1. Youth Work Camp Registration Form, 2. Volunteer Work Camp Contractor Registration Form, 3.Adult Chaperone & Home Base Volunteer Work Camp Registration Form.

 

Youth Registration Form- 2018 Diocesan Work Camp

YOUTH INFORMATION


PARENT/GUARDIAN INFORMATION


EMERGENCY CONTACT INFORMATION


YOUTH PARTICIPATION SKILLS AND EXPERIENCE


There is no need to be experienced with home improvement to be a youth participant at Work Camp. However, if you have any home improvement skills and experience please list below.

Example: Painting – have painted several interior spaces,
Familiar with basic tools such as hammers, screwdrivers, sanders, and ladders

MEDICAL INFORMATION AND RELEASE FORM


MEDICAL INFORMATION

In many cases, our Work Camp team is not familiar with the medical, physical, and/or emotional history of each participant. Since this participant will be participating in a weekend retreat, it is essential that ANY information relating to the participant is shared in detail. BE AS SPECIFIC AS POSSIBLE.


RELEASE OF LIABILITY AND MEDICAL RELEASE

As parent and/or legal guardian I remain legally responsible for any personal actions taken by the above named minor. I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend the Catholic Diocese of Richmond, its employees and agents, chaperons, or representatives associated with this event from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese, its employees and agents and chaperons, or representatives associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the Diocese.
I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. In the event of any emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers I give permission for the noted emergency contact to be notified. I will not hold the Diocese of Richmond responsible for authorizing any medical treatment beyond necessary transportation to the hospital.


USE OF PICTURES AND/OR VIDEO

I give permission for pictures and/or video of my child (named above) engaged in activities related any Diocesan event to have their pictures posted in the Diocese of Richmond publications or websites. Names of participants will not be used without expressed permission from the parent or guardian. If no box is checked below, the Diocese of Richmond assumes you give permission.


YOUTH CODE OF CONDUCT
Youth participants must read, understand, agree, sign and return this sheet with the Medical Information and Release form. Each participant is expected to adhere to the following principles while at the 2018 Middle School Day Camp.

SHOW LOVE AND RESPECT FOR GOD:
 Pray daily for self and others.
 Participate in opportunities to receive the Sacraments.
 Participate in the sessions, activities, and prayer experiences.
 Be open, flexible, and have a servant’s attitude.
 Represent God in your words and actions.
SHOW LOVE AND RESPECT FOR SELF:
 Remember that you are the Temple of the Holy Spirit. Present yourself accordingly.
 No alcohol, drugs, or smoking will be tolerated during the week.
 Dress with modesty. Bare mid-drifts, spaghetti straps, short-shorts, low cut tops, or guys without shirts are not permitted during the week. Appropriate swim wear may be worn on the water park day.
 Any music you bring and listen to should glorify God.
 Drink plenty of water, and make sure you eat all meals. This will allow you to fully participate and not be tired.
 If you must leave an activity, adult chaperones should accompany you since they are responsible for you.

SHOW LOVE AND RESPECT FOR OTHERS:
 All words and actions should be those of Christ to build up others and not injure.
 Make sure that your actions during the activities do not distract others from hearing, seeing, or praying.
 Be safe. No horseplay or other potentially harmful actions. Leave pocketknives, lighters, or other hazardous materials at home.
 No outside or unregistered visitors at the camp will be permitted.
 The facility must remain clean and undamaged. Otherwise, you will personally be responsible to pay for the damage. Any damages caused by the participant will be charged to the participant

I have read, understand, and agree to the above principles. Any violation of the above principles may result in immediate dismissal from the Middle School Day Camp and participants will forfeit their registration fee.

PERMISSION TO GIVE OVER THE COUNTER MEDICATIONS


 
 

Volunteer Work Camp Contractor Information

What is expected of a Work Camp Contractor?

Work Camp Contractors are needed to lead Work Camp Crews composed of 5 to 6 youth participants and 1 adult participant in home improvement projects. You do not need to be a licensed contractor or a professional, but you should be someone who is knowledgeable and experienced with home improvement. This means that you know how to safely operate a range of tools, have worked with different materials, and are able to teach others what you know.

What kind of project would I be doing as a Work Camp Contractor?
Projects include window and door replacement; building wheelchair ramps, decks, and stairs; installing skirting on mobile homes; widening interior doorways; installing vinyl tile; installing laminate T&G flooring; exterior painting and siding repair; etc. We do our best to match Work Camp Contractors with projects related to previous experience.

Do I need to draw up plans for my project?
No. Detailed plans and pictures are provided by email to Work Camp Contractors for review several weeks prior to the start of the camp. When you receive your plans you will be asked to schedule a time to speak with one of our lead contractors. This meeting is intended to give you an opportunity to walk through the plans together and ask any questions you may have.

Do I need to bring my own tools?

Yes. Each site plan includes a list of all the tools we anticipate being needed at the site. You should plan bring any tools you have and are willing to allow youth to use (including power tools) during the project. Also note, each parish is being asked to provide tools for their site as well. This may either include or be brought in addition to the tools that belong to you.
Am I responsible for providing the materials needed for my project?
No. The Diocese will purchase all the materials for the project and have them available for you at the worksite at the beginning of the week. However, there may be times throughout the week where you will need to transport some of the materials to the work site. Although you are welcome to pay for additional materials as needed, this is not an expectation – we have accounts set up at local suppliers and our lead contractors are responsible for purchasing materials.

Should I bring my own vehicle?

Yes. You are responsible for your own transportation to and from the work sites. Ideally, you should bring a vehicle that can easily transport tools and other building materials.

Where will I be staying while at Work Camp?

This year, the Work Camp home base will be located at the campus of UVA at Wise. All contractors will be staying in dorm rooms with a shared bathroom. Beds are provided, but you will need to bring linens, a pillow, and towels. There are a few low budget hotels located in the area if you prefer to stay there, but you would be responsible for all charges incurred. Because safety is a top priority, no children outside of Work Camp participants and no pets will be allowed at Work Camp.


What is the schedule for the week?
Below is a rough schedule for the week. Times may be subject to change slightly.

Saturday
June 23
3:00pm – 5:00pm
*Arrive to Work Camp in time for Vigil Mass andContractor Meeting
Sunday

June 24
8:00am – 11:00am
3:00pm
5:00 pm – 7:00 pm
Contractor arrives at site, meets resident, surveys work
Crew arrives at site to review site plans
Crew and Contractor eat dinner with residents

Monday
June 25
8:30 am – 3:30 pm
First full work day with crew

Tuesday
June 26
8:30 am – 3:30 pm
Second full work day with crew

Wednesday
June 27
8:30 am – 3:30 pm
Third full work day with crew

Thursday
June 28
8:30 am – 3:30 pm
Final full work day with crew

Friday
June 29
8:30 am – 2:00 pm

Contractor Blitz (contractors visit sites to complete workwhere needed)
*If for any reason you are unable to arrive by 5:00pm on Saturday, please contact us to let us know so that we can planaccordingly.
For questions or more information regarding the duties of Work Camp contractors, contact us via email (workcamp@richmonddiocese.org) or via phone (804.622.5159).


Safe Environment

(Training and background check forms are required for all youth ministry volunteers. If you are a youth ministry volunteer at your parish you have probably completed these items. If not, we will help you complete the necessary steps.)


Construction Experience

The following information helps us to consider the best project for you to oversee. Please complete all the information below. Please be as precise and detailed as possible.


Volunteer Work Camp Contractor Application

Exterior projects (i.e. decks, porches, wheelchair ramps, etc.) involve either replacing an existing structure or building a new freestanding structure. Interior projects always involve renovations. We do not build additions or replace roof systems.

We understand that completing a project on your own and at your own pace is very different from teaching and managing high school students (often unskilled) to do the work within a specific timeline. With that in mind, please complete the following:

Please list any of the following numbers below that apply to you, and rate based on: 1 = very confident; 2 = confident; 3 = unsure;
4 = unconfident; 5 = very unconfident


MEDICAL INFORMATION

In many cases, our Work Camp team is not familiar with the medical, physical, and/or emotional history of each participant. Since this participant will be participating in a weekend retreat, it is essential that ANY information relating to the participant is shared in detail. BE AS SPECIFIC AS POSSIBLE.


I agree on behalf of myself, my heirs, assigns, executors, and personal representatives, to hold harmless and defend the Catholic Diocese of Richmond, its officers, directors, agents employees, or representatives associated with this event from any and all liability, loss or damage arising from or in connection with my participation in this diocesan event.
Furthermore, I hereby warrant that to the best of my knowledge, I am in good health and assume all responsibility for my health. In the event of an emergency, I hereby give permission to transport me to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor or that my emergency contact be notified prior to any further treatment. I will not hold the Diocese of Richmond responsible for authorizing any medical treatment beyond necessary transportation to the hospital.



ADULT CODE OF CONDUCT

Group Leaders and Chaperones must read, understand, agree, sign and return this sheet. Please be sure that all adults in your group understand and abide by these policies.

Basic Role of Chaperones

The Office of Evangelization for Youth and Young Adults depends on the Chaperones to help facilitate order and to serve as a network of support for the youth. It is important that the Chaperones be an example of obedience and cooperation with the following policies as well as with our staff and volunteers on site. Because of the physical demands of the Work Camp, it is necessary that Chaperones be in good health. It is a very intense week and can be exhausting both physically and spiritually. Because of these conditions, it is not recommended that those with health problems participate as Chaperones.

Chaperones should be constantly assessing the youth in their group to be aware of any special needs. They should feel comfortable talking and sharing with the youth. Adults should also be willing to pray with the youth in their group. Adult Chaperones are responsible for their students at all times.
Duties of a Chaperone

A Chaperone’s responsibilities include, but are not limited to, the following areas:
1. Alcohol, Drugs, and Smoking
✓ All state laws concerning alcohol and drugs will be strictly enforced.
✓ Possession and/or consumption of alcohol or drugs are not permitted on site during the retreat.
✓ All Work Camp sites and buildings are smoke-free facilities.
✓ Adults who chose to smoke must smoke out of sight of youth participants.
2. Appropriate Dress
✓ All participants are expected to dress in a fashion that represents modesty, respecting other participants and our Lord.
✓ Clothing must cover all undergarments and midriffs. Male participants must wear shirts at all times during Work Camp.
✓ The Group Leader and Chaperones are expected to communicate these expectations to the youth before the Work Camp and enforce the dress code at all times during the Work Camp.
3. Participation
✓ It is expected that all Work Camp participants (youth, Chaperones, group leaders) will be present and participate at all activities during the entire Work Camp week.
✓ At no time should a youth participant leave the Work Camp without one of their adult Chaperones. Adults are strongly discouraged from taking youth off site, except in the case of an emergency.
✓ It is to be understood that the said adult takes full responsibility for a youth if they depart Work Camp.
4. Housing
✓ Chaperones are responsible for making sure that teen participants are in their designated sleeping areas at curfew time. We are guests at the school and we ask that it is left in better condition than it is found.
✓ All youth and adults must be in the sleeping areas by the designated times.
✓ An atmosphere of quiet and respect is expected following the lights out time. Violators will be subject to appropriate discipline.
5. Insubordination
✓ It is expected that youth and adults will follow the direction of all Work Camp staff and volunteers.
✓ Any instances of lack of cooperation or insubordination will not be tolerated and will be subject to appropriate discipline.
✓ The first and primary method of dealing with discipline problems will be to work through the Group Leader.
The Catholic Diocese of Richmond reserves the right to deny entrance to, or request the ejection of any group or individual who does not comply with the regulations and policies for the Work Camp. In the event that entrance is denied or a person(s) is ejected, NO REFUND will be made.
I have read, understand, and agree to the above policies. I will ensure that anyone accompanying me to the retreat also understands and agrees to these policies.

 
 

Adult Chaperone Application

Adult Chaperone Information

SAFE ENVIRONMENT


All adults who participate in a youth event sponsored by the Office for Evangelization must be in compliance with the Diocesan Safe Environment Policies. Please indicate that you have completed each component listed below:

ADULT PARTICIPANT SKILLS AND EXPERIENCE


EMERGENCY CONTACT INFORMATION



MEDICAL INFORMATION

In many cases, our Work Camp team is not familiar with the medical, physical, and/or emotional history of each participant. Since this participant will be participating in a weekend retreat, it is essential that ANY information relating to the participant is shared in detail. BE AS SPECIFIC AS POSSIBLE.


RELEASE OF LIABILITY AND MEDICAL RELEASE

I agree on behalf of myself, my heirs, assigns, executors, and personal representatives, to hold harmless and defend the Catholic Diocese of Richmond, its officers, directors, agents employees, or representatives associated with this event from any and all liability, loss or damage arising from or in connection with my participation in this diocesan event.
Furthermore, I hereby warrant that to the best of my knowledge, I am in good health and assume all responsibility for my health. In the event of an emergency, I hereby give permission to transport me to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor or that my emergency contact be notified prior to any further treatment. I will not hold the Diocese of Richmond responsible for authorizing any medical treatment beyond necessary transportation to the hospital.


USE OF PICTURES AND/OR VIDEO

I give permission for pictures and/or video of myself engaged in activities related to any Diocesan event to have those pictures and/or video posted in the Diocese of Richmond publications or websites. Names of participants will not be used without expressed permission from the participant. If no box is checked below, the Diocese of Richmond assumes you give permission.


ADULT CODE OF CONDUCT

Group Leaders and Chaperones must read, understand, agree, sign and return this sheet. Please be sure that all adults in your group understand and abide by these policies.
Basic Role of Chaperones
The Office of Evangelization for Youth and Young Adults depends on the Chaperones to help facilitate order and to serve as a network of support for the youth. It is important that the Chaperones be an example of obedience and cooperation with the following policies as well as with our staff and volunteers on site. Because of the physical demands of the Work Camp, it is necessary that Chaperones be in good health. It is a very intense week and can be exhausting both physically and spiritually. Because of these conditions, it is not recommended that those with health problems participate as Chaperones.
Chaperones should be constantly assessing the youth in their group to be aware of any special needs. They should feel comfortable talking and sharing with the youth. Adults should also be willing to pray with the youth in their group. Adult Chaperones are responsible for their students at all times.
Duties of a Chaperone

A Chaperone’s responsibilities include, but are not limited to, the following areas:
1. Alcohol, Drugs, and Smoking
✓ All state laws concerning alcohol and drugs will be strictly enforced.
✓ Possession and/or consumption of alcohol or drugs are not permitted on site during the retreat.
✓ All Work Camp sites and buildings are smoke-free facilities.
✓ Adults who chose to smoke must smoke out of sight of youth participants.
2. Appropriate Dress
✓ All participants are expected to dress in a fashion that represents modesty, respecting other participants and our Lord.
✓ Clothing must cover all undergarments and midriffs. Male participants must wear shirts at all times during Work Camp.
✓ The Group Leader and Chaperones are expected to communicate these expectations to the youth before the Work Camp and enforce the dress code at all times during the Work Camp.
3. Participation
✓ It is expected that all Work Camp participants (youth, Chaperones, group leaders) will be present and participate at all activities during the entire Work Camp week.
✓ At no time should a youth participant leave the Work Camp without one of their adult Chaperones. Adults are strongly discouraged from taking youth off site, except in the case of an emergency.
✓ It is to be understood that the said adult takes full responsibility for a youth if they depart Work Camp.
4. Housing
✓ Chaperones are responsible for making sure that teen participants are in their designated sleeping areas at curfew time. We are guests at the school and we ask that it is left in better condition than it is found.
✓ All youth and adults must be in the sleeping areas by the designated times.
✓ An atmosphere of quiet and respect is expected following the lights out time. Violators will be subject to appropriate discipline.
5. Insubordination
✓ It is expected that youth and adults will follow the direction of all Work Camp staff and volunteers.
✓ Any instances of lack of cooperation or insubordination will not be tolerated and will be subject to appropriate discipline.
✓ The first and primary method of dealing with discipline problems will be to work through the Group Leader.
The Catholic Diocese of Richmond reserves the right to deny entrance to, or request the ejection of any group or individual who does not comply with the regulations and policies for the Work Camp. In the event that entrance is denied or a person(s) is ejected, NO REFUND will be made.
I have read, understand, and agree to the above policies. I will ensure that anyone accompanying me to the retreat also understands and agrees to these policies.

 
 

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