Jill's House Weekend Adventure Inquiry Form

Thank you for your interest in serving with us. We would love for you to be a part of one of our Weekend Adventures! Please fill out the inquiry form below so we are able to get to know you a little bit better.

Name*

First Name

Last Name

Are you at least 16 years of age?*

Yes No

All volunteers must be at least 16 years of age to participate.

Date of Birth*

Camp Location Interested in Serving at*

Are you interested in serving as a single volunteer or being a leader of a group (10-12)*

I am looking to serve as a single volunteer I am looking to head up a group to serve as a team I can do either, whatever is needed

Other:

How did you hear about this volunteer opportunity?

Email*

Phone Number*

City & State of your home address:*

What is your primary language?*

English Spanish

Other:

Any considerations you may want us to be aware of:

What interests you about volunteering with us?*

What were the dates the dosages were provided?

Is there any additional information we should know about you (or your team)?

We ask for a suggested donation of $30 per participant (we offer a discounted rate for college students). This helps offset some of our larger costs (housing, meals, etc.).

Your Local Program Manager will be reaching out to you soon. We are excited you want to embark on this adventure with us!