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Contact the Chattahoochee Nature Center

Request a Donation from CNC

Address

PHYSICAL ADDRESS:
9135 Willeo Road – Roswell, GA 30075

MAILING ADDRESS:
P.O. Box 769769 – Roswell, GA 30076

Phone

(770) 992-2055

Hours

Monday – Saturday 10AM – 5PM
Sunday 12PM – 5PM

Have any questions? Fill out the form below.

Name*
First Last
Email*
Phone
What Can We Help You With? Please Make a Selection.*
Message*
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770.992.2055
9135 Willeo Rd Roswell, GA 30075
Monday - Saturday 10AM - 5PM
Sunday 12PM - 5PM

Wildlife Clinic Hours
Monday – Saturday 10AM – 4PM
Sunday 12PM – 4PM
General Admission
$15 Adults | $11 Seniors (Ages 65+) & Students (Ages 13 -18) | $9 Children (Ages 3 -12) | Children 2 & under are free

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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.

Name(Required)

First Last

Email(Required)

Cell(Required)

Phone

Alternate Phone Number

Address(Required)

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

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Hidden

Emergency Contact Email

Phone Number

Are you under 18 years old?(Required)

Yes

No

If you are under 18, please give birth date (mm/dd/yyyy)

MM slash DD slash YYYY

Educational Background (Select your highest level)(Required)

Middle School

High School

College or University

Post-Secondary College or University

Other

Are you currently attending school?(Required)

Yes

No

What school are you currently attending?

Supplemental educational courses or certifications:

Current occupation, employer, or field of study/interest:(Required)

Previous volunteer experience:(Required)

Hobbies/Skills/Interests: (please check any that apply)

Hobbies

Acting/Storytelling

Animal Rehabilitation

Arts & Crafts

Computer Skills

Construction/Carpentry

Hobbies

Costume design

Ebay Selling

Education

Event Planning

Gardening

Hobbies

Graphic Design

Hens/Livestock

Hospitality/Events

Interior Design/Decorating

Language/Translation

Hobbies

Music Performance

Nature Crafts

Outdoor Cooking

Photography

Hobbies

Repair/Handyman

Sewing

Silent Auction

Sign Language

Hobbies

Scouting

Trail Maintenance

Videography

Writing Articles/Blogging

Additional Hobbies or Skills:

Volunteer Opportunities: Long-Term Commitments (regular, recurring weekly or monthly volunteer positions)

Horticulture

Horticulture

Unity Garden | 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.

Invasive plant removal | These dates occur monthly, usually on a Saturday or Sunday | Look for volunteer emails for more information

Native Plant Gardening Wednesday | 8-11AM (future Fridays planned) Maintain the native plant gardens with nature in mind. | Duties may include: weeding, mulching, watering, planting, or grooming plants.

Docent

Docent

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

Education Support

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.

Wildlife

Hobbies

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.

If selecting Wildlife, please list available times:

Short-Term Commitments (special events, clerical assistance, tabling, etc.)

Short-term Commitments

Clerical/Mailings

Parking lot management at events

Tabling/Off-site events

Driving (drop off/pick up items)

Photography

Short-term Commitments

Farmer’s Market

Organization (store rooms, etc.)

Silent auctions solicitation/planning

Invasive Plant removal days

Parade character (costumed)

Short-term Commitments

Special Events/Festivals at the CNC

Data Entry

Professional Services (legal, accounting, consulting, IT)

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?(Required)

Yes

No

Since you answered yes, please explain?

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(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(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(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:

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.

"*" 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

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:(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 the close of the exhibit on February 28, 2023. 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 17, 2022. 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, including adherence to CNC policies put into place to reduce the risk of COVID-19 community transmission. For more information please visit the CNC website. This includes: Staying home when appropriate: please stay home if you have COVID-19, are exhibiting symptoms of COVID-19 or have had close contact with a person with a confirmed or suspected COVID-19 case. (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 3/1/2023 and 3/10/2023 at 5PM.

7. 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.

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?

CAPTCHA

"*" 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

Name(Required)

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Date of Birth(Required)

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School Name(Required)

Graduation Year(Required)

Major or Intended Field of Study(Required)

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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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Do you have any topics of interest that you would like us to focus on?*
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Choice of animal:*
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