CAMP WIN


CAPTAIN APPLICATION

In addition to completing the application below, you will need to create and submit a short video answering the following questions:

1. What is your first & last name?

2. Why do you want to be a Captain this summer?

3. Describe yourself in 1 word or phrase.

4. If you could have any super power what would it be & why?

We encourage you to be creative and to have fun with your video, as this is our way to get to know you. Please keep response video no longer than 1 minute & 30 seconds in length. You will receive a link to upload your video in a confirmation email after submitting the application.

Name
Name
Phone
Phone
Date of Birth
Date of Birth
Emergency Contact Phone (other than Parent/Guardian)
Emergency Contact Phone (other than Parent/Guardian)
What grade will you be entering for the 2018-19 school year?
Position you are applying for:
Please Select the session(s) you are applying for:
I would prefer to work with campers:
How did you hear about becoming a Team Captain at Camp WIN (please check all that apply):
Please select which years you have previously been a Team or Junior Team Captain:
If you have attended Camp WIN as a camper, please select the age(s) you were when you attended:
Mandatory Team Captain Training *
Captain Training is MANDATORY for all Captains. Training will only be offered on SUNDAY JUNE 2ND from 3-5PM at Notre Dame de Sion High School.
This Release and Waiver of Liability (the "Release") releases the Kansas City Sports Commission, WIN for KC and/or Kansas City Sports Foundation ("Nonprofit"), a nonprofit corporation organized and existing under the laws of the State of Missouri, and each of its directors, officers, employees and agents on the terms set forth below. Volunteer desires to provide volunteer services for Nonprofit and engage in activities as requested by Nonprofit. Volunteer hereby freely, voluntarily and without duress executes the Release for the Volunteer's self, personal representatives, heirs and next of kin. Volunteer understands that the scope of Volunteer's relationship with Nonprofit is limited to a volunteer position and that no compensation is expected in return for services provided by Volunteer; that Nonprofit will not provide any benefits traditionally associated with employment to Volunteer; and that Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Volunteer's services to Nonprofit. 1. Release and Waiver: I, the Volunteer, release and forever discharge and hold harmless Nonprofit and its successors and assigns from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services I provide to Nonprofit. I understand and acknowledge that this Release discharges Nonprofit from any liability or claim that I may have against Nonprofit with respect to bodily injury, personal injury, illness, death or property damage that may result from the services I provide to Nonprofit or occurring while I am providing volunteer services, whether caused by the negligence of Nonprofit, its directors, officers, employees, volunteers or others. 2. Insurance: Further, I understand that Nonprofit does not assume any responsibility for or obligation to provide me with financial or other assistance, including, but not limited to, medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death or damage to my property. I expressly waive any such claim for compensation or liability on the part of Nonprofit beyond what may be offered freely by Nonprofit in the event of such injury or medical expenses incurred by me. 3. Medical Treatment: I hereby release and forever discharge Nonprofit from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered to me in connection with an emergency during my tenure as a volunteer with Nonprofit. 4. Assumption of Risk: I understand that the services I provide to Nonprofit may include activities that may be hazardous to me. 5. Photographic Release: I grant and convey to Nonprofit all right, title and interests in any and all photographs, images, video or audio recordings of me or my likeness or voice made by Nonprofit in connection with my providing volunteer services to Nonprofit. 6. Other: As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Missouri and that this Release shall be governed by and interpreted in accordance with the laws of the State of Missouri. I agree that in the event any clause or provision of this Release and Waiver is deemed invalid, the enforceability of the remaining provisions of this Release and Waiver shall not be affected. If applicant is under the age of 18, the waiver must be signed by a parent/guardian.