Kops-N-Kids

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Junior Staff Application 2025

Applicant Information

* Name:

* Age:

* Date of Birth:

* School Attending:

* Cell Phone:

* E-mail address:

To be eligible for a Junior Staff position, you must be 15 years old or older during camp. Jr. Staff Volunteers may be required to take a Live Scan fingerprint (at no cost to the applicant) as part of the application process. Applicants will be notified with additional information.

Junior Staff must be able to:
Attend the entire week of camp.

You will be notified through email regarding your application. Not all applicant will be chosen.

Have you ever been enrolled at a Kops-N-Kids camp? If so, which year(s)?:

Have you ever served as Junior Staff at a Kops-N-Kids camp? If so, which year(s)?:

Explain why you would like to volunteer with Kops-N-Kids. Please keep your answers brief, approximately 100 words or less.:

Campers are coached in the activities listed below. Junior Staff are needed to assist coaches in these activities and in the camp office and kitchen. Please indicate your first and second choice assignments.

Basketball
Bicycling
Dance/Cheer
Flag Football
Soccer
Volleyball
Tennis
Cadets
Office

Assignment Preference

* 1st Choice:

* 2nd choice:

Describe your qualifications to assist in your preferred assignment:

Do you have a Kops-n-Kids reference? For example, someone who works for a Kops-n-Kids partner agency (for example Police Department, Probation, CHP, Sheriff’s Department) . This is helpful, but not required.

Please list their name, agency and your relationship to the reference

Reference Name:

Agency:

* Mother's Name:

* Best Phone # during camp hours:

* Father's Name:

* Best Phone # during camp hours:

Guardian (if different than mother/father):

* Parent, Guardian or Adult E-mail:

* Address:

* City:

* Zip Code:

Emergency Contact

* Name:

* Relationship:

* Cell Phone:

If under 18, this section is to be filled out by the student’s parent/guardian

I verify that my child has medical insurance and is physically able to participate in the Kops-N-Kids Camp. I hereby authorize Kops-N-Kids to act on my behalf according to their best judgment in any emergency requiring medical attention or in any routine medical care of an injury/accident. I, the minor’s parent/guardian, will assume the responsibility for any emergency or medical service that may be required during the course of the Kops-N-Kids camp.

Medical Information

* Medical Insurance Company:

* Policy Number:

* Group Number:

Medications

* Is your child on any medications? yes / no:

List all medications and dosage:

* Will your child require any medications during camp hours? yes / no:

If your child will be taking any prescription or non-prescription medication while attending camp, please bring the medication to camp staff.

If your child will require medication during camp, please list 1) medication 2) dosage 3) time medication should be give and 4) special instructions:

Allergies

* Does Your Child Have Any Allergies? yes/no:

Junior Staff will receive one camp T-shirt on the first day of camp. Camp T-shirts must be worn each day of camp.

Shirts are available in the following sizes:

Mens: small, medium, large, x-large, XX-large, XXX-large

* T-shirt size:

List any allergies - medication, food or other:

* Does your child have a recent illness, surgeries, medical restrictions, disabilities, behavior problems and or circumstances that camp staff should be aware of? yes / no:

Please describe:

Each year, campers and staff pose for a group photograph and team photograph. In addition, candid pictures are taken during camp activities. Campers and staff are not identified by name in any of these photos. The photos are sometimes used in publications such as the Kops-N-Kids camp brochure and web page.By applying for a Junior Staff position, you are giving permission for your photo be used in Kops-N-Kids publications.

Code of Conduct Agreement

To insure campers and have a safe and enjoyable experience, all JR STAFF are required to follow the Code of Conduct
listed below. Please review the Code of Conduct with your child. Both child and parent/guardian must read and sign the
agreement prior to admittance into camp.
1. Campers shall follow the direction of camp staff at all times.
2. Campers shall be courteous and show respect to staff, fellow campers and visitors at all times.
3. Foul language and gestures are strictly prohibited.
4. Fighting is strictly prohibited.
5. Clothing should be comfortable and suitable for exercising.
6. Clothing depicting inappropriate messages or images is strictly prohibited. Inappropriate depictions include but are
not limited to: drugs, alcohol, tobacco, gang, violence or sex.
7. Pants should be appropriately hemmed (should not drag on the ground) or excessively baggy.
8. Shorts should have a minimum of 3 inch inseam.
9. No open toe shoes or sandals.
10. Kops-N-Kids will provide each camper with a bag and water bottle. No other bags or backpacks are allowed.
11. Do not bring personal sports equipment to camp.
12. Do not bring personal items to camp (toys, electronics, jewelry, cell phones). Kops-n-Kids is not responsible for lost
or stolen items.
13. Friends and siblings who are not registered in the camp will not be allowed to participate in camp activities.
14. Violation of any of these rules can result in the immediate ejection from camp activities for the duration of the week
and possibly future camps.
15. It is the responsibility of the parent/guardian to pick up the camper upon the notification of misconduct and/or
expulsion from camp.
I have read and understand the guidelines outlined above and the consequences of violating the Code of Conduct.

* CODE OF CONDUCT:

I, the undersigned, hereby consent to my participation in the athletic/recreation programs sponsored by Kops-N-Kids while enrolled in the Kops-N-Kids Camp 2025, June 16-20th, 2025 at Rosemont High School. I understand and acknowledge that recreational programs involve risk of injury to participate and/or risks inherent in the activity and Kops-N-Kids will not be held responsible for any such injuries. In connection with the foregoing, I hereby release, discharge and hold harmless Kops-N-Kids, Sacramento City Unified School District and the camp staff from all cases, liabilities, damages, claims or demands whatsoever on account of any damages, accidents involving the participant or arising from the participant's attendance at the Kops-N-Kids camp or in the course of competition and/or activities held in connection with the Kops-N-Kids camp.

* RELEASE OF LIABILITY:

References #1: name, phone number and how you know them:

References #2: name, phone number and how you know them:

* indicates required fields

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Junior Staff Application 2025