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Chattahoochee Nature Center grows hundreds of pounds of produce every week

April 9, 2020- The Atlanta Journal-Constitution
By: Bo Emerson, Feature Writer

The shutdown won’t stop vegetables from growing at the Chattahoochee Nature Center’s Unity Garden.

There are still hundreds of pounds of kale, radishes and carrots coming up out of the ground at the Roswell attraction every week.

Click to view entire article

Chattahoochee Nature Center donates 340 pounds of food CNC: Connecting You with Nature at Home

770.992.2055
9135 Willeo Rd Roswell, GA 30075
Monday - Saturday 10AM - 5PM
Sunday 12PM - 5PM

General Admission
$20 Adults
$16 Seniors (Ages 65+)
$16 Students (Ages 13 -18)
$14 Children (Ages 3 -12)
Children 2 & under are free

Wildlife Clinic Hours
Monday – Saturday 10AM – 4PM
Sunday 12PM – 4PM

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Harvest on the Hooch Application

Name(Required)

First Last

Organization(Required)

Permanent Mailing Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

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Promotional Images(Required)

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Business Phone(Required)

Cell(Required)

Email(Required)

Facebook URL

Instagram Name

Will you have people assisting you on the day of the event?(Required)

Yes

No

Names of the individuals assisting you on the day of the event:

Separate each name with a comma

Total number of individuals assisting:

Please enter a number value

Type of Vendor(Required)

Restaurant

Brewery

Bakery

Entertainment

Other

Select all that apply. If vendor type is not listed, please add to "Other Vendor Category".

Other Vendor Category

Provide a Vendor and Product Description(Required)

This information will be used in publicity. Please describe your products and good how you would like them portrayed.

Vendor Space Requests

A limited number of resources available and are first come first served. CNC reserves the right to switch out sizes due to availability.

Tables (If you need more than 2 tables, please let us know.)(Required)

0 - Tables

1 - Table

2 - Tables

Chairs(Required)

0 - Chairs

1 - Chair

2 - Chairs

Electricity(Required)

Yes - Electricity

No - Electricity

Pop-up Tents 10x10(Required)

0 - Tents

1 - Tent

Paper and Cutlery Supply Needs

Materials Needed(Required)

Plates (7 inch)

Bowls (6 oz.)

Cups (2 oz.)

Sporks

Knives

Ice

Napkins

Select all that Apply. CNC will provide the above items.

How Many Plates?

Please enter a number.

How Many Cups?

Please enter a number.

1. CONTRACT(Required)

I agree to contract

The following rules and regulations become binding upon acceptance of this contract between the applicant (Vendor), its employees and agents, and the Chattahoochee Nature Center (CNC). The Vendor also assumes full responsibility for complying with any local, city, state, and federal regulations regarding permitting, sales, taxes, fire, electrical wiring, safety, and/or health. [Subject to City of Roswell and Fulton County codes]

2. SPACE ASSIGNMENTS(Required)

I agree to space assignments

Space will be assigned to Vendors. CNC reserves the right to assign or alter exhibit locations as it deems advisable and in the best interest of the event. The CNC does not guarantee access to Wi-Fi.

3. PAYMENTS(Required)

I agree to payments

Vendor Fees are explained on the Vendor info sheet. Payments can be made online and MUST be received by July 3, 2024.

4. CANCELLATIONS(Required)

I agree to cancellations

Cancellations must be requested in writing and received on or before September 6, 2024. Requests should be made to: Tamara Kinmon, t.kinmon@chattnaturecenter.org. All registration refunds are subject to a 15% administrative fee. Please allow 2-4 weeks for a refund. No refunds processed after September 13, 2024.

5. SAFETY(Required)

I agree to safety

Any/all electrical equipment, including signs and lights, shall be in good operable condition and able to pass the inspection of the local Fire Underwriters Inspection Bureau. Each Vendor agrees to be knowledgeable and responsible regarding ordinances and regulations pertaining to health, fire prevention, and public safety while participating in this festival.

6. USE OF VENDOR/PARTNER SPACE(Required)

I agree to use of exhibit space

(A) Over-the-counter sales are defined as a transfer of goods for money, check, draft, or other kinds of payment. These sales will be permitted in accordance with facility, local, city, state, and federal regulations. These transactions must be made by the Vendor –CNC is unable to assist with transactions. (B) Distribution by the Vendor of any printed matter, souvenirs, or other articles must be confined to the assigned space. No undignified manner of attracting attention will be permitted. All exhibits must fit in the space provided. (C) Vendors shall reflect their company’s highest standards of professionalism while maintaining the space during the event. (D)Vendors shall arrange their exhibit so it does not obstruct the general view or hide the exhibit of others. (E) Vendors shall distribute products in environmentally friendly materials (compostable plates, bowls, cups, and flatware) and will NOT use Styrofoam or other similar non-biodegradable products. CNC will provide access to electricity in order to eliminate the need for a generator.

7. SECURITY/LIABILITIES/INSURANCE(Required)

I agree to security/liabilities/insurance

Neither will CNC, their members, nor the representatives and/or employees thereof be responsible for any injury, loss, or damage that may occur to the Vendor, or to the Vendor employees or property, from any cause whatsoever, prior to, during or subsequent to the period covered by this application/contract.

8. NON-DISCRIMINATION AGREEMENT(Required)

I agree to non-discrimination agreement

Vendors may not refuse service to any market guest based on based on race, color, religion, sex, national origin, ancestry, disability, marital, family, pregnancy status, sexual orientation, gender identity, gender expression, veteran or citizenship status.

9. AMENDMENTS TO REGULATIONS(Required)

I agree to amendments to regulations

Any and all matters and questions not specifically covered by the articles in this contract shall be subject to the decision of CNC. They may, in the interest of the event, amend the aforementioned items covered by this contract at any time and notice thereof shall be binding on Vendor equally with the foregoing rules set forth in this contract. CNC reserves the right to refuse space.

Consent(Required)

By checking this box I agree to the listed rules and regulations above.

By checking this box I agree to the listed rules and regulations above on the Back to Nature Holiday Market Vendor Application.

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Phone

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Holiday Market Vendor Application

Name(Required)

First Last

Organization(Required)

Permanent Mailing Address(Required)

Street Address City State ZIP / Postal Code

Website URL(Required)

Phone(Required)

Cell(Required)

Email(Required)

Facebook URL

Instagram Name

Vendor Product

Retail Vendors will be selected based on selling products that are handmade or locally produced and suitable for holiday gifts. We strive to find a balance between product types.

Select Item Category

Select all that apply. If item category is not listed, please add to "Other Item Category".

set#2

Crocheted/Knitted Goods

Jewelry

Wood Craft

Children's Gifts

Candles

set#2

Glassware/Ceramics

Bath Goods

Food

Eco-Friendly

Art

Other Item Category

What do you charge for your products? Include a general price range.(Required)

Briefly describe the products you plan to sell.(Required)

Sample Picture(Required)

Max. file size: 50 MB.

Sample Picture

Max. file size: 50 MB.

Sample Picture

Max. file size: 50 MB.

Vendor Location Preferences

Vendor Location - First Choice(Required)

Select vendor booth space. Please select your top 3 location preferences. Outdoor locations have pop-up tents available.

Vendor Location - Second Choice(Required)

Select vendor booth space. Please select your top 3 location preferences. Outdoor locations have pop-up tents available.

Vendor Location - Third Choice(Required)

Select vendor booth space. Please select your top 3 location preferences. Outdoor locations have pop-up tents available.

Are you interested in the following?

Electricity (an additional $5 will be added to your vendor fee total)(Required)

Yes - Electricity

No - Electricity

Tables (72”x30”)(Required)

0 - Tables

1 - Table

2 - Tables

CNC reserves the right to switch out table size in the interest of availability and available space.

Chairs(Required)

0 - Chairs

1 - Chair

2 - Chairs

Pop-up Tents 10x10 (outdoor spaces)(Required)

0 - Tents

1 - Tent

2 - Tents

1. CONTRACT(Required)

I agree to contract

The following rules and regulations become binding upon acceptance of this contract between the applicant (Vendor), its employees and agents, and the Chattahoochee Nature Center (CNC). The Vendor also assumes full responsibility for complying with any local, city, state, and federal regulations regarding permitting, sales, taxes, fire, electrical wiring, safety, and/or health. [Subject to City of Roswell and Fulton County codes]

2. SPACE ASSIGNMENTS(Required)

I agree to space assignments

Booths will be assigned to Vendors. CNC reserves the right to assign or alter all exhibit locations as it deems advisable and in the best interest of the event.

3. PAYMENTS(Required)

I agree to payments

Exhibitor and Vendor Fees are explained on the Vendor info sheet. Payments from accepted applicants can be made via online link (If approved, a link will be emailed to you) or via mail. Payments MUST be received by November 3, 2023, to: Chattahoochee Nature Center, Inc. P.O Box 769769, Roswell, GA 30076 ATTN: Tamara Kinmon.

4. CANCELLATIONS(Required)

I agree to cancellations

Cancellations must be requested in writing and received on or before November 6, 2023. Requests should be made to: Tamara Kinmon – t.kinmon@chattnaturecenter.org. All registration refunds are subject to a 15% administrative fee. Please allow 2-4 weeks for refund. NO refunds will be processed after November 13, 2023. Vendors will be notified as soon as possible if the event is canceled or rescheduled. The vendor will be eligible for a full refund or the reservation and payment will be valid for a new rescheduled date as determined by CNC.

5. SAFETY(Required)

I agree to safety

Any/all electrical equipment, including signs and lights, shall be in good operable condition and able to pass the inspection of the local Fire Underwriters Inspection Bureau. Each Vendor agrees to be knowledgeable and responsible regarding ordinances and regulations pertaining to health, fire prevention, and public safety while participating in this festival.

6. USE OF EXHIBIT SPACE(Required)

I agree to use of exhibit space

A. Over-the-counter sales are defined as transfer of goods for money, check, draft, or other kind of payment. These sales will be permitted in accordance with facility, local, city, state, and federal regulations. These transactions must be made by the vendor – CNC is unable to assist with transactions. CNC DOES NOT guarantee access to Wi-Fi although it is available. B. Distribution by the Vendor of any printed matter, souvenirs, or other articles must be confined to the assigned space. No undignified manner of attracting attention will be permitted. All exhibits must fit in the space provided. C. Exhibitors/Vendors shall reflect their company’s highest standards of professionalism while maintaining the exhibit during the symposium hours. D. Vendors must stay for the entire event. If an exhibit booth is broken down or left empty before 5PM, that company becomes ineligible for participation in the next Holiday Market. E. Exhibitors/Vendors shall arrange their exhibit so it does not obstruct the general view or hide the exhibit of others. F. All vendors must limit noise to an acceptable level. Acceptable level is defined as low enough that two people 8ft away from space can speak without having to raise their voices beyond a normal conversational level. G. Vendors are encouraged to use recyclable materials and avoid using single-use foodservice items. H. Vendors are responsible for cleaning their table and area by 6PM on Saturday, December 2.

7. SECURITY/LIABILITIES/INSURANCE(Required)

I agree to security/liabilities/insurance

Neither will CNC, their staff members, nor the representatives and/or employees thereof be responsible for any injury, loss and/or damage that may occur to the Vendor, to the Vendor’s employees and/or property, from any cause whatsoever, prior to, during or subsequent to the period covered by this application/contract.

8. NON-DISCRIMINATION AGREEMENT(Required)

I agree to non-discrimination agreement

Vendors may not refuse service to any market guest based on based on race, color, religion, sex, national origin, ancestry, disability, marital, family, pregnancy status, sexual orientation, gender identity, gender expression, veteran or citizenship status.

9. AMENDMENTS TO REGULATIONS(Required)

I agree to amendments to regulations

Any and all matters and questions not specifically covered by the articles in this contract shall be subject to the decision of CNC. They may, in the interest of the event, amend the aforementioned items covered by this contract at any time and notice thereof shall be binding on Vendors equally with the foregoing rules set forth in this contract. CNC reserves the right to refuse space.

Consent(Required)

By checking this box I agree to the listed rules and regulations above.

By checking this box I agree to the listed rules and regulations above on the Back to Nature Holiday Market Vendor Application.

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Email

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Newsletter Popup

Name*
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Zip Code*
Email*
Please select your area of interest*
- Camp
- Education
- Horticulture
- Concerts and Evening Events
- Venue Rentals
- Wildlife
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Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Email(Required)

Cell(Required)

Phone

Alternate Phone Number

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Is the Volunteer under 18 years old?(Required)

Yes

No

Name of Parent or Guardian(Required)

First Last

Parent or Guardian Phone(Required)

Educational Background(Required)

Middle School

High School

College or University

Post-Secondary College or University

Other

Select your highest level of educational background at this time.

Are you currently attending school?(Required)

Yes

No

What school are you currently attending?(Required)

Field of Study or Area of Interest:(Required)

Are you currently employed?(Required)

Yes

No

Current Employer(Required)

Title or Current Occupation:(Required)

Supplemental courses or certifications:

Previous volunteer experience:(Required)

Volunteer Opportunities

Volunteers are vital in supporting the CNC mission to connect people with nature.

Special Event Support(Required)

Yes

No

Special events happen throughout the year. Volunteers needs include crafts, wayfinding, face painting, greeting, games, and much more!

Special Event Specialized Areas

Photography

CNC Parking Squad

Costume Character

Special events have a few specialized needs. Do you have the skill or are you interested in these more specific areas? If not, that is fine special events has lots of opportunities!

Education Support or Docent(Required)

Yes

No

Provide support throughout the week with education programs or become a Docent. Docents are volunteers who are stationed at a variety of exhibits on the grounds and in the Discovery Center or leading trail hikes on the grounds.

Docent

Yes

No

Docents work a variety of schedules, including weekends. They are expected to commit to working ~4 hours per month Docent orientation and training occurs twice a year: late summer and late winter. Continuous training is on-going. Docent selection may involve an on-site or phone interview, as well as a background check.

Education Support

Yes

No

Applicants must be 18 or older | Available Days and Hours are Monday-Friday; 9AM-1PM | Volunteers interested in supporting the logistics of our education programming at CNC by helping provide a welcoming and efficient field trip visit.

Horticulture Support(Required)

Yes

No

Support the Horticulture Department through the Unity Garden, Native Plant Gardening, Greenhouse, and Habitat Restoration.

Unity Garden

Yes

No

Tuesday and Thursday 8-11AM (9AM-12PM in winter) | A community garden that grows fresh food for donation to a local food pantry. Work with others to plant & harvest produce year round.

Native Plant Gardening

Yes

No

Wednesday, 8-11AM | Maintain the native plant gardens with nature in mind. Duties may include weeding, mulching, watering, planting, or grooming plants.

Greenhouse Projects

Yes

No

Wed 1-3PM & Thurs 9-11AM (rain or shine) | Work with Horticulture Curator potting plants, stepping up, propagation, and clean-up at the greenhouse.

Habitat Restoration

Yes

No

These dates occur monthly, usually on a Saturday or Sunday | Find dates on CNC calendar

Tabling at Off-Site Events(Required)

Yes

No

Share the CNC mission at events in the community. Must enjoy talking with people and be able to pick up tabling information at CNC in advance.

Wildlife Support(Required)

Yes

No

Applicants must be 18 or older. Applicants must be willing to obtain a current tetanus shot or provide proof of one in the last 10 years. There is a wait time of approximately 1 year for volunteer spots in wildlife. When an opening arises, all waitlisted volunteers that have indicated availability for that shift will be contacted for an interview.

Availability(Required)

Please list days and times you are available to volunteer in wildlife.

Professional Services(Required)

Yes

No

Do you have experience with a professional service like accounting, legal, consulting, IT, photography, or any other service that you would like to volunteer your time and share with CNC?

Specific Professional Services

Accounting

Consulting

IT

Legal

Photography

Videographer

Other

Physical Limitations(Required)

Yes

No

Do you have any physical limitations or allergies, or are you under any course of treatment which might limit your ability to perform certain types of work?

Since you answered yes, please explain?

1. Consent to Application(Required)

By checking this box I acknowledge this is my signature and the information on this form is correct. I agree to application consent.

The above application has been completed voluntarily, and I certify that all statements and representations are true and correct. I understand that individual volunteers at the Chattahoochee Nature Center must sign a liability waiver, as well as possibly complete an on-site interview and/or consent to a background check before beginning any volunteer work at CNC. I understand that I am not an employee and will not be paid for my services as a CNC volunteer. I agree to abide by all the volunteer policies and procedures of the Nature Center.

2. Waiver & Liability(Required)

I agree to waiver & liability

The undersigned hereby acknowledges that participation in recreational and other activities conducted by or in conjunction with the Chattahoochee Nature Center, and travel to and from such activities, involves inherent risks of physical injury, illness, death or loss of personal property, and the undersigned assumes all such risks, including risks associated with activities conducted in remote locations. In consideration of the mutual benefits derived from participation by the undersigned with activities conducted by or in conjunction with the Chattahoochee Nature Center, the undersigned hereby absolves, releases and waives any and all liability, claims or demands against the Chattahoochee Nature Center and its officers, directors, agents, trip leaders, volunteers, contractors and employees from any and all claims, demands, rights and causes of action of whatsoever kind and nature arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, including death, damage to property, and the consequences thereof resulting from or relating to participation by the undersigned in any activities conducted by or in conjunction with the Chattahoochee Nature Center. I understand that the Chattahoochee Nature Center is not responsible for vandalism, break-ins, or theft of personal property. I also understand that the Chattahoochee Nature Center does not provide insurance for participants in its activities and the undersigned is required to and shall carry such insurance adequate for any eventuality for injury or illness as a result of such activities. I certify that I am eighteen (18) years of age or older, or my parent or guardian has signed below, and that I or my parent and/or guardian have read the above carefully before signing.

3. Health & Safety Warning and Disclaimer(Required)

I agree to health & safety warning and disclaimer

The undersigned acknowledges that participating in Chattahoochee Nature Center programs or accessing Chattahoochee Nature Center facilities could increase the risk of contracting illnesses, including, without limitation, COVID-19. Chattahoochee Nature Center in no way warrants that illnesses and/or infections (including, without limitation, COVID-19) will not occur through participation in Chattahoochee Nature Center programs of accessing Chattahoochee Nature Center facilities.

4. Photo Release & Waiver(Required)

Yes

No

Do you give the Chattahoochee Nature Center permission to use your photo and its likeness for any and all print and video purposes it deems necessary or desirable? The Chattahoochee Nature Center will not be required to reimburse you for use of your photo or its likeness.

How did you hear about us?

How did you hear about us?

Advertisement

CNC visit

Current CNC member

How did you hear about us?

Referred

Volunteer Fair

Email from CNC

How did you hear about us?

CNC website

Agency/School

Previous Group volunteer at CNC

Other:

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Name

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Plan an Event Inquiry

Name(Required)

First Last

Email(Required)

Phone(Required)

What can we help you with?(Required)

What kind of event are you hosting?(Required)

What kind of event are you hosting?(Required)

Desired Venue Space(Required)

Desired Venue Space(Required)

Date - First Choice(Required)

Month

Day

Year

If you are unsure of the date, please enter a date that is close to your event needs.

Date - Second Choice

Month

Day

Year

Date - Third Choice

Month

Day

Year

Are your dates flexible?(Required)

Yes

No

Preferred Event Date Timeline(Required)

Please enter what time you would like to set up and break down for the event and what time your event starts and ends.

Estimated Guest Count(Required)

Venue Budget Range(Required)

Please enter the venue budget range in dollar amounts. (Example: $500-$1500)

Please share any additional information about your event.

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Comments

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Flying Colors Butterfly Festival Vendor and Exhibitor Application

Name(Required)

First Last

Organization(Required)

Website URL(Required)

Phone(Required)

Cell(Required)

Email(Required)

Facebook URL

Instagram Name

Type of Vendor or Exhibitor(Required)

Exhibitor (Free): Must provide information or activities about pollinators.

Vendor ($100): Vendors must be selling butterfly, pollinator-related, and/or environmentally-minded goods.

Food Vendor ($100): Selling products and providing no samples. Must have a vegetarian option.

Vendor fees are $50 per day for a total of $100 for both days. Only 2 food vendors per day (not including snack options). All vendors and exhibitors include 1 table and 2 chairs.

Will you have people assisting you on the day of the event?(Required)

Yes

No

Names of individuals assisting you on the day of the event:(Required)

Separate each name with a comma.

Total number of individuals assisting:(Required)

Please enter a number value

Additional Tables Needed?(Required)

Yes

No

Additional tables are $10 each.

Do you require electricity?(Required)

Yes

No

How many extra tables?(Required)

Please enter a number value.

Do you need a pop-up tent?(Required)

Yes

No

Limited number of pop-up tents are available and are first come, first served.

Booth Description(Required)

Please describe your display/booth and/or if selling items, what you plan to sell. This information will be used in publicity, please describe your products and goods and how you would like them portrayed.

1.CONTRACT(Required)

I agree to the contract

The following rules and regulations become binding upon acceptance of this contract between the applicant (Vendor/Exhibitor), its employees and agents, and the Chattahoochee Nature Center (CNC). The Vendor /Exhibitor also assumes full responsibility for complying with any local, city, state, and federal regulations regarding permitting, sales, taxes, fire, electrical wiring, safety, and/or health. [Subject to City of Roswell and Fulton County codes]

2.SPACE ASSIGNMENTS(Required)

I agree to space assignments

Space will be assigned to Vendors/Exhibitors. CNC reserves the right to assign or alter exhibit locations as it deems advisable and in the best interest of the event. The CNC does not guarantee access to wifi.

3.PAYMENTS(Required)

I agree to payments

Vendor Fees are explained on the Vendor info sheet. Payments can be made online and MUST be received by April 26, 2024.

4.CANCELLATIONS(Required)

I agree to cancellations

Cancellations must be requested in writing and received on or before May 3, 2024. Requests should be made to: Fabiola Clermont, specialevents@chattnaturecenter.org. All registration refunds are subject to a 15% administrative fee. Please allow 2-4 weeks for a refund. No refunds processed after May 10, 2024.

5.SAFETY:(Required)

I agree to safety

Any/all electrical equipment, including signs and lights, shall be in good operable condition and able to pass the inspection of the local Fire Underwriters Inspection Bureau. Each Vendor/Exhibitor agrees to be knowledgeable and responsible regarding ordinances and regulations pertaining to health, fire prevention, and public safety while participating in this festival.

6.USE OF EXHIBIT SPACE(Required)

I agree to use of exhibit space

(A) Over-the-counter sales are defined as a transfer of goods for money, check, draft, or other kinds of payment. These sales will be permitted in accordance with facility, local, city, state, and federal regulations. These transactions must be made by the Vendor/Exhibitor – CNC is unable to assist with transactions. (B) Distribution by the Vendor/Exhibitor of any printed matter, souvenirs, or other articles must be confined to the assigned space. No undignified manner of attracting attention will be permitted. All exhibits must fit in the space provided. (C) Vendors/Exhibitors shall reflect their company’s highest standards of professionalism while maintaining the exhibit during the symposium hours. (D) Vendors/Exhibitors shall arrange their exhibit so it does not obstruct the general view or hide the exhibit of others. (E) Vendors/Exhibitors shall distribute products in environmentally friendly materials (compostable plates, bowls, cups, and flatware) and will NOT use Styrofoam or other similar non-biodegradable products. CNC will provide access to electricity in order to eliminate the need for a generator.

7.SECURITY/LIABILITIES/INSURANCE(Required)

I agree to security/liabilities/insurance

Neither will CNC, their members, nor the representatives and/or employees thereof be responsible for any injury, loss, or damage that may occur to the Vendor/Exhibitor, or to the Vendor/Exhibitor’s employees or property, from any cause whatsoever, prior to, during or subsequent to the period covered by this application/contract.

10.AMENDMENTS TO REGULATIONS(Required)

I agree to amendments to regulations

Any and all matters and questions not specifically covered by the articles in this contract shall be subject to the decision of CNC. They may, in the interest of the event, amend the aforementioned items covered by this contract at any time and notice thereof shall be binding on Vendor/Exhibitor equally with the foregoing rules set forth in this contract. CNC reserves the right to refuse space.

Consent(Required)

By checking this box I agree to the listed rules and regulations above.

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Name

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Name of Organization or Group(Required)

Organization Liaison Contact Name(Required)

Email

Liaison Email Address

Phone

Liaison Phone Number

Consent (if under 18, a parent or guardian must complete the consent)(Required)

By checking this box I acknowledge this is my signature and the information on this form is correct. I also give consent to Chattahoochee Nature Center for the following:

The above application has been completed voluntarily, and I certify that all statements and representations are true and correct. I understand that individual volunteers at the Chattahoochee Nature Center must sign a liability waiver, as well as possibly complete an on-site interview and/or consent to a background check before beginning any volunteer work at CNC. I understand that I am not an employee and will not be paid for my services as a CNC volunteer. I agree to abide by all the volunteer policies and procedures of the Nature Center.

Consent (if under 18, a parent or guardian must complete the consent)(Required)

I agree to the following

The undersigned hereby acknowledges that participation in recreational and other activities conducted by or in conjunction with the Chattahoochee Nature Center, and travel to and from such activities, involves inherent risks of physical injury, illness, death or loss of personal property, and the undersigned assumes all such risks, including risks associated with activities conducted in remote locations. In consideration of the mutual benefits derived from participation by the undersigned with activities conducted by or in conjunction with the Chattahoochee Nature Center, the undersigned hereby absolves, releases and waives any and all liability, claims or demands against the Chattahoochee Nature Center and its officers, directors, agents, trip leaders, volunteers, contractors and employees from any and all claims, demands, rights and causes of action of whatsoever kind and nature arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, including death, damage to property, and the consequences thereof resulting from or relating to participation by the undersigned in any activities conducted by or in conjunction with the Chattahoochee Nature Center. I understand that the Chattahoochee Nature Center is not responsible for vandalism, break-ins, or theft of personal property. I also understand that the Chattahoochee Nature Center does not provide insurance for participants in its activities and the undersigned is required to and shall carry such insurance adequate for any eventuality for injury or illness as a result of such activities. I certify that I am eighteen (18) years of age or older, or my parent or guardian has signed below, and that I or my parent and/or guardian have read the above carefully before signing.

HEALTH & SAFETY WARNING AND DISCLAIMER (if under 18, a parent or guardian must complete)(Required)

I agree to the following

The undersigned acknowledges that participating in Chattahoochee Nature Center programs or accessing Chattahoochee Nature Center facilities could increase the risk of contracting illnesses, including, without limitation, COVID-19. Chattahoochee Nature Center in no way warrants that illnesses and/or infections (including, without limitation, COVID-19) will not occur through participation in Chattahoochee Nature Center programs of accessing Chattahoochee Nature Center facilities.

PHOTO RELEASE AND WAIVER (if under 18, a parent or guardian must complete)(Required)

Yes

No

Do you give the Chattahoochee Nature Center permission to use your photo and its likeness for any and all print and video purposes it deems necessary or desirable? The Chattahoochee Nature Center will not be required to reimburse you for use of your photo or its likeness.

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Name

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Wedding Expo Vendor Application

Name(Required)

First Last

Organization(Required)

Permanent Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Website URL(Required)

Phone(Required)

Cell(Required)

Email(Required)

Facebook URL

Instagram Name

Information and Fees

Vendors will be selected based on the ability to provide a Covid safe, eco-friendly, and inclusive product or service to all couples for any type of wedding event from micro-wedding ceremonies to large receptions. CNC strives to find a balance between product types.

Vendor Category: Please check ALL categories that best fit your business

Arbor

Bakery

Caterer

Decorator

DJ/Band/Musician

set#2

Florist

Getaway

Car/Transportation

Gifts/Favors/Stationary

Hair/Make-up

set#2

Hotel/Air BnB

Officiant

Photo Booth

Photographer/Videographer

Planner/Coordinator

set#2

Registry

Rentals/Tents

Spa

Travel/Honeymoon

Wedding Dress/Apparel

Other

Vendor Location: Please select location preferences

Vendor Location(Required)

Covered Pavilion - Outdoor Space ($70)

Kingfisher Hall - Indoor Space ($60)

Plaza Conference Room - Indoor Space ($60)

Meadow - Outdoor Space ($60)

Are you interested in the following?

Expo Bag (an additional $10 will be added to your vendor fee total)(Required)

Yes

No

Electricity (an additional $5 will be added to your vendor fee total)(Required)

Yes

No

Tables (72”x30”)(Required)

0

1

2

Chairs(Required)

0

1

2

Pop-up Tents 10x10 (outdoor spaces)(Required)

0

1

2

Vendor Products and Services

What do you charge for your products and services? Include a general price range.(Required)

How many events have you serviced in 2022?(Required)

Briefly describe the products or services that you plan to sell or promote?(Required)

Grand Prize Contribution

Grand Prize Contribution: The grand prize contribution must be submitted to CNC by 5PM on March 4. The prize cannot be a percentage off or any other gift in which there would be an expectation for the winner to purchase or do something in order to receive the gift.

Provide a short description and value of what you will be contributing to the grand prize giveaway.(Required)

Door Prize Contribution

The door prize must be at your booth on the day of the event. The prize cannot be a percentage off or any other gift in which there would be an expectation for the winner to purchase or do something in order to receive the gift.

Provide a short description and value of what you will be contributing to the grand prize giveaway.(Required)

1.CONTRACT(Required)

I agree

The following rules and regulations become binding upon acceptance of this contract between the applicant (Vendor), its employees and agents, and the Chattahoochee Nature Center (CNC). The Vendor also assumes full responsibility for complying with any local, city, state, and federal regulations regarding permitting, sales, taxes, fire, electrical wiring, safety, and/or health. [Subject to City of Roswell and Fulton County codes]

2.SPACE ASSIGNMENTS(Required)

I agree

Booths will be assigned to Vendors. CNC reserves the right to assign or alter all exhibit locations as it deems advisable and in the best interest of the event.

3.PAYMENTS(Required)

I agree

Vendor Fees are explained on the Vendor info sheet. Payments can be made online and MUST be received by February 13, 2023.

4.CANCELLATIONS(Required)

I agree

Cancellations must be requested in writing and received on or before February 13, 2023 to be eligible for a full refund. Requests should be made to: Fabiola Clermont at specialevents@chattnaturecenter.org. Please allow 2-4 weeks for refund. Vendors will be notified as soon as possible if the event is canceled or rescheduled. The vendor will be eligible for a full refund or the reservation and payment will be valid for a new rescheduled date as determined by CNC.

5.SAFETY:(Required)

I agree

Any/all electrical equipment, including signs and lights, shall be in good operable condition and able to pass the inspection of the local Fire Underwriters Inspection Bureau. Each Vendor agrees to be knowledgeable and responsible regarding ordinances and regulations pertaining to health, fire prevention, and public safety while participating at this festival. (A) CNC encourages social distancing, wearing of masks and washing hands frequently. (B) All vendors must adhere to the current CDC and EPA COVID 19 safety guidelines as well as the Georgia governors’ orders and CNC policies at all times on the CNC grounds. (C) Vendors are permitted to give out product samples including food and drink as long as they adhere to those guidelines noted above.

6.USE OF EXHIBIT SPACE(Required)

I agree

(A) Over-the-counter sales are defined as transfer of goods for money, check, draft, or other kind of payment. These sales will be permitted in accordance with facility, local, city, state, and federal regulations. These transactions must be made by the vendor. CNC is unable to assist with transactions. (B) Please provide appropriate visible signage at your booth so that it is easily identifiable. (C) CNC DOES NOT guarantee access to Wi-Fi although it is available. (D) Distribution by the Vendor of any printed matter, souvenirs or other articles must be confined to the assigned space. No undignified manner of attracting attention will be permitted. All exhibits must fit in the space provided. (E) Vendors shall reflect their company’s highest standards of professionalism while maintaining the exhibit during the event hours. (F) Vendors must stay for the entire event. If an exhibit booth is broken down or left empty before 4PM, that company becomes ineligible for participation in the next expo. (G) Vendors shall arrange their exhibit so it does not obstruct the general view or hide the exhibit of others. (H) All vendors must limit noise to an acceptable level. Acceptable level is defined as low enough that two people 8ft away from space can speak without having to raise their voices beyond a normal conversational level. (I) Vendors are encouraged to use recyclable materials and avoid using single use foodservice items. (J) Vendors are responsible for cleaning their table and area by 5PM on the day of the Wedding Expo.

7.SECURITY/LIABILITIES/INSURANCE(Required)

I agree

Neither CNC, their staff members, nor the representatives and/or employees thereof be responsible for any injury, loss and/or damage that may occur to the Vendor, to the Vendor’s employees and/or property, from any cause whatsoever, prior to, during or subsequent to the period covered by this application/contract.

8.INSURANCE REQUIREMENTS(Required)

I agree

Caterers must submit their certificate of insurance along with their health inspection with their application.

9.NON-DISCRIMINATION AGREEMENT(Required)

I agree

Vendors may not refuse service to any wedding expo guest based on based on race, color, religion, sex, national origin, ancestry, disability, marital, family, pregnancy status, sexual orientation, gender identity, gender expression, veteran or citizenship status.

10.AMENDMENTS TO REGULATIONS(Required)

I agree

Any and all matters and questions not specifically covered by the articles in this contract shall be subject to the decision of CNC. They may, in the interest of the event, amend the aforementioned items covered by this contract at any time and notice thereof shall be binding on Vendors equally with the foregoing rules set forth in this contract. CNC reserves the right to refuse space.

Consent(Required)

By checking this box I agree to the listed rules and regulations above.

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Phone

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"*" indicates required fields

Name*

First Last

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone*

School You Are Currently Attending*

Current Grade (2022-23 school year)*

Age*

Birth Date*

MM slash DD slash YYYY

T-shirt Size*

Small

Medium

Large

XLarge

T-shirt must fit appropriately

Sessions you are applying for:*

Session 1: June 5 - June 30

Session 2: July 5 - July 28

Choose one additional week to assist at the canoe ponds. (9AM-1PM required)*

May 30 - June 2

July 30 - August 3

Are there any days off needed during the session you have signed up for?*

Must attend 85% of Session

Why are you interested in coming back to Camp?*

What did you like about being an LIT?*

Camp changes every summer. How will you manage the changes that this summer will bring?*

In what ways would you like to grow in your leadership abilities this year?*

How would you like to improve or change your performance this year?*

What was the most significant thing you learned in the LIT program last year? Either about yourself, or about becoming a leader?*

What have you learned this past year that you can bring to camp this summer?*

Applicant Consent*

By checking this box I acknowledge this is my signature and the above information is correct

Parent/Guardian Section

Parent Name*

First Last

Consent*

I agree to the Bright from the Start Exemption Notice Below:

I understand that Camp Kingfisher at the Chattahoochee Nature Center is not licensed under the State of Georgia’s Bright from the Start. Camp operates under an exemption from licensure Rule 591-1-1-1-.46, exemption rule #6 & #7.

Parental Consent for Application

I agree to let my child apply for the Camp LIT position

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Comments

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Name(Required)

First Last

Organization

Permanent Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Website URL (if available)

Phone(Required)

Email(Required)

CONCEPTUAL PLAN

Contestants will be selected based on construction types, portfolio, and incorporation of natural elements. We strive to find a balance between construction types.

If you have any examples of your work, please attach to your application or share a website where they can be viewed:

File

Max. file size: 50 MB.

Please describe what materials you would plan to use to create your Fairy House or Gnome Home, including how you plan to make your house durable to the elements and the public throughout the course of the exhibit. Review the required building requirements on the exhibit page at https://www.chattnaturecenter.org/special-events/enchanted-woodland-trail/.(Required)

Please describe how you would plan to include natural elements in your Fairy House/Gnome Home:(Required)

While not required, visitors love a backstory that goes along with a House. If you have any ideas on your story, please describe:

1. CONTRACT:

The following rules and regulations become binding upon acceptance of this contract between the Contestant or Team Captain (Vendor), its employees and agents, and the Chattahoochee Nature Center (CNC)

2. SPACE ASSIGNMENTS:

Space will be assigned to Vendors. CNC reserves the right to assign or alter exhibit locations as it deems advisable and in the best interest of the exhibit.

3. PRIZES:

Vendors must submit a W9 with their entry form in the event that the entry wins a prize. Prizes are to be awarded by CNC to the Vendor by check no later than March 10, 2024. Vendors may elect to waive their prize winnings as a donation to CNC if they choose.

Prizes(Required)

I will submit W9 and receive a prize

I choose to waive my prize

4. CANCELLATIONS:

Cancellations must be requested in writing and received on or before November 24, 2023. Requests should be made to Farah McIntyre at f.mcintyre@chattnaturecenter.org.

5. SAFETY:

Any/all construction materials shall be in good operable condition and will be reviewed by CNC upon installation.

6. USE OF EXHIBIT SPACE:

(A) Vendors will be asked to check on their fairy house once per month over the duration of the exhibit. Vendors will receive three passes to show at admissions to be admitted at no charge for the purpose of checking on the display. Vendors may maintain their exhibit only during regular operating hours of CNC. Pass is to be used by Vendors only. (B) Business/company/individual logos or other promotional information may only be included in the exhibit upon entry under the Business/Corporate category. All exhibits must fit in the space provided. (C) Vendors must hold themselves to the highest standards of professionalism while maintaining the exhibit during operating hours. (D) Vendors shall arrange their exhibit so it does not cause any safety issues or damage the natural environment in any way. (E) Vendors must remove all items between 3/1/2024 and 3/10/2024 at 5PM.

7. REQUIRED BUILDING GUIDELINES

Vendors have read and agree to adhere to the Fairy and Gnome Home Building Guidelines found on the Enchanted Woodland Trail Exhibit page at https://www.chattnaturecenter.org/special-events/enchanted-woodland-trail/. If you would like a copy of the guidelines, make a request at f.mcintyre@chattnaturecenter.org.

8. AMENDMENTS TO REGULATIONS:

Any and all matters and questions not specifically covered by the articles in this contract shall be subject to the decision of CNC. They may, in the interest of the exhibit, amend the aforementioned items covered by this contract at any time, and notice thereof shall be binding on Vendors equally with the foregoing rules set forth in this contract. CNC reserves the right to refuse space.

Consent(Required)

By checking this box I agree to the listed rules and regulations above.

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Comments

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Name(Required)

First Last

Phone(Required)

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

School Name(Required)

Graduation Year(Required)

Major or Intended Field of Study(Required)

T-shirt Size(Required)

Small

Medium

Large

X Large

Special Dietary Needs(Required)

Permanent Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please check all weeks you are available to work:(Required)

May 30-June 2

June 5-9

June 12-16

June 19-23

June 26-30

July 3-7 (no camp on July 4)

July 10-14

July 17-21

July 24-28

July 31-August 4

I am applying for the following position(s):(Required)

Head Counselor* (must be 21 years of age)

Camp Counselor

Admin Support

Archery Instructor

Arts & Crafts Instructor

Canoe Instructor/ High School Leadership Instructor* ** (must be 21 years of age)

Environmental Education Specialist

Heron Pond Canoe Instructor

Lifeguard **

Owlet Counselor (Part Time)

Specialist Support

Substitute Counselor

Travel Program Counselor* (must be 22 years of age)

Please read job descriptions on website. Feel free to select more than one. KEY: *Please fill out additional application obtained from Debby **Additional training provided

Since your job of choice is substitute counselor, please confirm your availability:

May 30-June 2

June 5-9

June 12-16

June 19-23

June 26-30

July 3-7 (no camp on July 4)

July 10-14

July 17-21

July 24-28

July 31-August 4

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Specialist/Travel Program

I have a solid idea of what this job looks like and the skills expected of me for this job

I have questions about this position or would like to learn more to see if I’m a good fit

I am lifeguard certified or willing to become one

Travel program

I have a clean driving record

I feel comfortable driving a 12 passenger van

I meet the age requirement for this position.

Archery

I understand there is an online training course I will need to complete in order to become certified by May 26, 2023

Pool

I am already certified as a lifeguard

I need certification. I feel confident in my swimming skills that I can pass the pretest for certification. Contact Debby if you need more information.

I am comfortable learning how to maintain chemical levels and cleaning with bleach

Canoe Training

I will participate in the additional Canoe Training (date TBD but will be sometime in May).

What are you hoping to get out of this summer?(Required)

What is your age group of choice and why do you feel you are a great fit for them? If there is an age group you feel uncomfortable working with why and how can we help you gain confidence with this age?(Required)

What do you like about the position(s) you have chosen?(Required)

If you had to give yourself a grade for last summer, how would you rate your personal performance? Why did you give yourself the grade you did?(Required)

How are you planning to improve your performance as a staff member at camp this summer?(Required)

We expect returning staff to lead by example. What areas are you an “expert” in and how are you planning to lead the way and leave your mark this summer?(Required)

In what ways would you like to grow this summer?(Required)

How can the Camp Kingfisher admin team support your growth?(Required)

What was your favorite part of camp last summer?(Required)

What part of your job last summer did you feel like you thrived in?(Required)

What is one part of your job that stresses you out?(Required)

What part of last summer frustrated you the most?(Required)

Tell us about 2 things you have done, accomplished or learned in the last 9 months since you were last at Camp Kingfisher. How will you apply those lessons/skills to your work at Camp?(Required)

Share a moment recently when you felt like an adult… or at least the most adultiest adult around. What was it and what did you learn about yourself in that moment?(Required)

Every year there are improvements that can be made to camp. What do you see as an improvement to make camp better? What suggestions do you have that could help this area improve?(Required)

As a returner I understand the following

Please check each box to acknowledge each item.

Each year is different(Required)

By checking this box I realize that each year at camp is different as new campers and new staff bring a new dynamic and energy. While there are constants, it’s important to remember this dynamic as you return. Returners bring a lot to the table and can pass on a lot from prior experiences. Returning to camp with an open and welcoming attitude helps to make the transition to a new summer easier and benefits everyone on our team.

Lead by example(Required)

By checking this box I realize that as a returning staff member to Camp Kingfisher I understand that I will be expected to lead by example, speak up if I see something wrong at camp, be a mentor to newer staff and campers, approach change with a positive attitude. I also understand that I will be asked to be an active participant in staff training this includes being asked to help lead in some training sessions.

Voluntary Disclosure

Have you ever been arrested or indicted for any form of child abuse, misconduct, or for any behavior that might be considered inappropriate for someone who will be working with children?(Required)

Yes

No

Have you ever been convicted or pleaded guilty to child abuse or any other felony?(Required)

Yes

No

Since you chose yes, please explain(Required)

Consent(Required)

By checking this box I realize that I am giving consent for Camp Kingfisher at the Chattahoochee Nature Center to obtain references and a criminal background check on me.

Consent(Required)

By checking this box I realize that I am giving consent for Camp Kingfisher at the Chattahoochee Nature Center to obtain references and a criminal background check on me.

Please list a few days/time we can contact you by phone to chat about this upcoming summer?(Required)

Any additional comments or concerns?

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Name

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"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cell Phone*

Email*

(You will receive communication from Camp Kingfisher - Please use an email address that you check often.)

School You Are Currently Attending*

Current Grade (2022-23 school year)*

Age*

Birth Date*

MM slash DD slash YYYY

Tshirt Size*

Small

Medium

Large

xLarge

Are you (or your family) a member of the Chattahoochee Nature Center?*

Yes

No

How did you hear about the LIT program?*

Please list any dietary needs*

Camp is a rigorous program that is physically demanding. Hiking, swimming, and canoeing are some of the required activities. Please list any special needs or concerns.*

Have you ever been canoeing?*

Yes

No

If not, are you willing to learn?*

Yes

No

Sessions for which you are applying:*

Session 1: June 5 – June 30

Session 2: July 5 – July 28 (no camp on July 4th)

Choose one additional week to assist at the canoe ponds. (9AM – 1PM required)*

May 30 - June 2

July 30 - August 3

Choose one additional week to assist at the canoe ponds. (9AM – 1PM required)*

May 30 - June 2

July 30 - August 3

Are there any days off needed during the session you have signed up for? Attending 85% of the session is required.*

Please describe any previous volunteer experience you may have. Include where, for how long, and what kind of work you performed.*

Describe any experience you have teaching or working with children.*

Please tell us why you want to be a Camp Kingfisher LIT.*

As an LIT, you are a role model for campers. What attributes would you bring to camp in order to be a great role model?*

What would make you an asset to the LIT program?*

In what ways would you like to grow in your leadership abilities through Camp Kingfisher’s LIT program?*

Describe yourself in three words. What makes you describe yourself this way?*

Applicant Consent*

By checking this box I acknowledge this is my signature and the above information is correct

Parent/Guardian Section

Parent Name*

First Last

Consent*

I agree to the Bright from the Start Exemption Notice Below:

I understand that Camp Kingfisher at the Chattahoochee Nature Center is not licensed under the State of Georgia’s Bright from the Start. Camp operates under an exemption from licensure Rule 591-1-1-1-.46, exemption rule #6 & #7.

Parental Consent for Application*

I agree to let my child apply for the Camp LIT position

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Phone

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Name(Required)

First Last

Phone(Required)

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

School Name(Required)

Graduation Year(Required)

Major or Intended Field of Study(Required)

T-shirt Size(Required)

Small

Medium

Large

X Large

Special Dietary Needs(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please select all the weeks you are available to work:(Required)

May 30-June 2

June 5-9

June 12-16

June 19-23

June 26-30

July 3-7 (no camp on July 4)

July 10-14

July 17-21

July 24-28

July 31-August 4

I am applying for the following position(s):(Required)

Camp Counselor

Admin Support

Archery Instructor

Arts & Crafts Instructor

Canoe Instructor

Canoe Instructor/ High School Leadership Instructor* (must be 21 years of age)

Environmental Education Specialist*

Lifeguard

Specialist Support

Travel Program Counselor* (must be 22 years of age)

Please read job descriptions on website. *Position requires additional application section. Email camp@chattnaturecenter.org with subject line “Additional Application Request” and specify the job you are interested in.

Based on your choice(s) tell us what makes this position right for you and for Camp Kingfisher(Required)

Please list schools/programs where you have studied natural sciences, environmental studies, or early childhood/elementary education. Please also list any relevant certification you hold.(Required)

Please attach files of your certifications (if any)

Drop files here or

Max. file size: 50 MB.

Please list all experiences working with children(Required)

Please attach your resume(Required)

Max. file size: 50 MB.

How did you hear about Camp Kingfisher? (please be specific)(Required)

Do you play an instrument?(Required)

Yes

No

Do you sing?(Required)

Yes

No

Would you be willing to play or sing in front of kids at camp?(Required)

Yes

No

What instrument do you play?(Required)

If you are not willing to play or sing in front of kids, please explain why.(Required)

Please tell us about a time you had to teach a group of elementary aged students. What did you teach and what techniques did you use?(Required)

What challenges (if any) did you have?(Required)

Are there any camp-related activities that you feel you could bring to Camp Kingfisher? Where or how did you develop this expertise?(Required)

What is one ecology/nature topic you are passionate about? How would you teach it to school aged children?(Required)

What do you think your greatest strengths will be as a Camp Kingfisher staff member?(Required)

What do you think your greatest challenges will be as a Camp Kingfisher staff member?(Required)

What unique contributions can you make to our summer camp program?(Required)

What or who inspires you? Why?(Required)

Why do you want to be a staff member at Camp Kingfisher, an environmental education camp?(Required)

Why would you make you a great staff member?(Required)

Camp Experience: List all camps you have attended as a camper or staff member:(Required)

Have you ever been arrested or indicted for any form of child abuse, misconduct, or for any behavior that might be considered inappropriate for someone who will be working with children?(Required)

Yes

No

Have you ever been convicted or pleaded guilty to child abuse or any other felony?(Required)

Yes

No

Since you chose yes, please explain(Required)

Consent

By checking this box I realize that I am giving consent for Camp Kingfisher at the Chattahoochee Nature Center to obtain references and a criminal background check on me.

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Comments

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What type of program are you interested in booking?
Name*
First Last
Email*
Phone*
Name of School/Organization*
Age range/grade level of participants*
How many classes will be participating in the program, and how many children are in each class?*
How many adults will be participating in the program (including teachers, chaperones, and school staff)?*
Choice of Program(s)*
Preferred Date 1*
MM slash DD slash YYYY
Preferred Date 2*
MM slash DD slash YYYY
Preferred Date 3*
MM slash DD slash YYYY
What is your preferred program time?*
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*
Name*
First Last
Email*
Phone*
Name of School/Organization*
Age range/grade level of participants*
How many classes will be participating in the program, and how many children are in each class?*
How many adults will be participating in the program (including teachers, chaperones, and school staff)?*
Choice of Program(s)*
Preferred Date 1*
MM slash DD slash YYYY
Preferred Date 2*
MM slash DD slash YYYY
Preferred Date 3*
MM slash DD slash YYYY
What is your Preferred Program Time?
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*
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