Summer Camp Counselor Volunteer Application

If you are interested in volunteering to be a Humane Society of Missouri Summer Camp Counselor, please complete the form below.

"*" indicates required fields

Name*

First Last

Email*

Address*

Street Address Address Line 2 City State ZIP

Your cell phone*

Please enter a phone number we can use to contact you directly.

I am 18 years old or older*

Yes

Date of Birth*

Month

Day

Year

What name would you like on your Camp Counselor name tag?

Please list your preferred pronoun (if you have one)

Please list any allergies, medical conditions, IEPs, or any unique needs we should be aware of, or type NONE.*

Please note, we welcome all applicants. To ensure a positive experience for you, we need to know any specific needs/requirements in advance. Thank you!

Please enter your T-shirt size*

Are you available to attend the REQUIRED Camp Counselor Orientation on Wednesday, June 4, 2025, 9am-3pm, at the Humane Society of Missouri- 1201 Macklind Avenue, St. Louis, MO 63110?*

Yes

I'm sorry. We cannot accept applications for counselors who are unable to attend the required orientation.

Please explain your reason(s) for choosing to volunteer in the Education Department at the Humane Society of Missouri (besides loving animals).*

For example: school volunteer hours, exploring job opportunities, etc.

How did you hear about this volunteer opportunity?*

What personal strengths do you have that you hope to contribute to your volunteer experience?*

Which particular animal issue do you feel most strongly about and why?*

For example: puppy mills, dog fighting, pet overpopulation, the plight of chained dogs, the plight of stray animals, animal abuse, etc.

What do you enjoy most about interacting with children?*

What is one way you think you can help homeless animals?*

In addition to volunteering as a summer program counselor.

Please tell us about your very first memory of feeling empathy for an animal.*

Do you feel people can be taught to be caring towards other people and animals?*

Yes

Please tell us about a time you experienced a challenge or conflict with another job, employer, or volunteer opportunity and how you handled it*

We want to learn about YOU! What would you like us to know about you? What are your favorite activities, hobbies, interests, books, movies, etc.?*

Tell us about your pets.*

Did you attend Kids for Critters camp as a camper?*

Yes

How old were you when you attended?*

What do you hope to do or see as a Camp Counselor this summer?*

After summer camp has ended would you be interested in volunteering over the school year? Helping host Birthday Parties, teach Shelter Buddy lessons, teach Girl Scout/Boy Scout classes, give Shelter Tours, and assist with Classroom animal interactions.*

Yes

Maybe

We would like each counselor to be immersed in at least 2 full weeks of camp. Please let us know your availability. Kids for Critters Camps takes place Monday-Friday from 9:00am-3:00pm this summer. As a Camp Counselor you would need to be available from 8:30am-3:30pm each day of the week for the week you are choosing to volunteer for. (Minimum requirement is 2 weeks, but you are more than welcome to volunteer for more).*

Please make between 2 and 7 selections from the choices below.

Week 1 June 9-13 (Ages 6-8)

Week 2 June 23-27 (Ages 9-11)

Week 3 July 7-11 (Ages 12-14)

Week 4 July 14-18 (Ages 6-8)

Week 5 July 21-25 (Ages 9-11)

Week 6 July 28-Aug 1 (Ages 12-14)

Week 7 Aug 4-8 (Ages 9-11)

Each week of camp we will be offering Aftercare. Aftercare takes place Monday-Thursday from 3:00-5:00pm. Camp Counselors are required to help with at least 1 day of aftercare each week they are volunteering.*

Please enter the dates or days of the week you are available to help with aftercare.

Volunteer Consent*

WAIVER AND RELEASE OF LIABILITY AUTHORIZATION AND CONSENT
By submitting my application, I understand that acceptance into the Humane Society of Missouri's Teen Volunteer program is not guaranteed. In return for being allowed to participate at the Humane Society of Missouri, I release and agree not-to-sue the Humane Society of Missouri, its employees, sub-contractors, sponsors and affiliates from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my participation and caused by the ordinary negligence of the parties listed above, wherever, whenever, or however the same may occur. I understand and agree that those listed above are not responsible for any injury or property damage arising out of my participation, even if caused by their ordinary negligence. I understand that my participation involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating at the Humane Society of Missouri with knowledge of the danger involved and agree to accept all risks of participation and all related activities. I agree to let the parties use my name, likeness, and demographic information free of charge in any manner for any purpose. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state of Missouri and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I further agree that any legal proceedings related to this waiver will take place in St. Louis, Missouri.

I acknowledge that I have read and fully understand the terms and conditions of the foregoing release.

Volunteer Photo Release*

I hereby consent that the photographs, digital images, film video and/or audio recordings taken of me while a participant may be used by the Humane Society of Missouri and their assignees or successors, in telling the Humane Society of Missouri story. This may include the Humane Society of Missouri’s website, publications, events, social media and media. Furthermore, I consent that such photographs, digital images, film, video and audio recordings shall be the property of the Humane Society of Missouri, which has the right to duplicate, reproduce, and make other uses in the best interest of the Humane Society of Missouri free and clear of any claim whatsoever on my part.

Yes

Parent or Legal Guardian of Teen Volunteers Younger Than 18 years of age

Parent/Guardian Consent*

WAIVER AND RELEASE OF LIABILITY AUTHORIZATION AND CONSENT
I am the parent/legal guardian of the participant. I am of legal age and am freely signing this Waiver and Release of Liability Authorization and Consent on behalf of the participant. I hereby give my consent to allow participant to volunteer for the Humane Society of Missouri. I have read this form and fully understand that by signing this form, I am giving up legal rights and remedies on behalf of myself, the participant, and his/her family, estate, heirs, and/or assigns. As parent/legal guardian of the participant, for myself and for and on behalf of said participant, I hereby consent and agree to the forgoing Wavier and Release of Liability Authorization and Consent, and for myself and for and on behalf of said participant, I hereby give and grant the Humane Society of Missouri the authorizations, consents and permissions stated in the foregoing Wavier and Release of Liability Authorization and Consent, upon the terms and conditions stated therein.

I hereby give and grant to the Humane Society of Missouri, its employees, nominees, agents, successors and assigns, unlimited authorization, consent and permission to publish, republish, reproduce, distribute and, in any other manner, to use, any and all information about participant (excluding medical information) and any and all reproductions of their likeness (photographic or otherwise) and of their voice, whether or not related to any affiliation or association with the Humane Society of Missouri, and with or without the use or disclosure of participants name. I understand and agree that the authorizations, consents and permissions contained herein are given voluntarily and with the full understanding that no compensation or other payment of any kind will be paid to participant or to any other person for any of the agreements contained herein or for the exercise or use by the Humane Society of Missouri of any of the authorizations, consents or permissions granted in this Waiver and Release of Liability Authorization and Consent. I am of legal age and am freely signing this agreement on behalf of myself. I have read this form and understand that by signing this form, I am giving up legal right and remedies on behalf of myself, my family, estate, heirs, and/or assigns. I hereby consent and agree to the foregoing Waiver and Release of Liability Authorization and Consent for myself and I hereby give and grant the Humane Society of Missouri the authorizations, consents and permissions stated in the foregoing Waiver and Release of Liability Authorization and Consent, upon the terms and conditions stated therein.

I, the parent/guardian of applicant, give my consent to allow applicant to volunteer for the Humane Society of Missouri

Parent/Guardian Photo Release*

I hereby consent that the photographs, digital images, film video and/or audio recordings taken of my child while a participant may be used by the Humane Society of Missouri and their assignees or successors, in telling the Humane Society of Missouri story. This may include the Humane Society of Missouri’s website, publications, events, social media and media. Furthermore, I consent that such photographs, digital images, film, video and audio recordings shall be the property of the Humane Society of Missouri, which has the right to duplicate, reproduce, and make other uses in the best interest of the Humane Society of Missouri free and clear of any claim whatsoever on my part.

Yes

Parent/Guardian Name

First Last

Parent/Guardian Email

Parent/Guardian Cell Phone

Relationship to teen volunteer:*

Parent or Legal Guardian of Teen Volunteers Younger Than 18 years of age

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