2026 Camp Wannaklot Volunteer Application

Photographic & Volunteer Release

I hereby acknowledge that the information given above is accurate and I give permission to the community for the use of my photographs that are taken by staff in order to use for social media.

I understand that while I serve in the capacity of a volunteer to HEMOPHILIA OF GEORGIA, INC., ('the Corporation'), it has disclosed or will disclose or make available to me confidential information related to the Corporation's business. I also understand that I may conceive of or produce such confidential information and copyrightable works. All such confidential information and works could be used by me to compete with the Corporation and could also be of great value to the Corporation's competitors. I recognize that the Corporation's confidential information contains highly personal and sensitive information, including the medical records and HIV status of patients and their families. I further recognize that the Corporation's continuing ability to engage successfully in its business and provide blood products and comprehensive health care services to its patients and their families depends, in part, on maintenance of the confidentiality of its proprietary information and on the protection of rights in ideas, works and information of the Corporation.

Confidential Information

I will protect the Corporation's confidential information and trade secrets. I will not use, except in connection with efforts on behalf of the Corporation, and will not disclose or give to others, during or subsequent to my serving in the capacity as a volunteer, any fact or information not generally available to the public concerning the Corporation's business. Such business information includes patient names, addresses and medical data, blood product information, research and development, mailing lists, business plans, financial information and all other secret or confidential work, knowledge, know-how, trade secret or confidential business information. The information I will protect, however, does not include: (i) any information that is or shall become generally known in the trade through no fault of mine, (ii) any information received in good faith from a third party who has the right to disclose such information and who has not received such information either directly or indirectly from the Corporation, (iii) any information that I can demonstrate was within my legitimate possession prior to the time of my serving in the capacity as a volunteer to the Corporation, or (iv) any confidential business information which is not a trade secret five (5) years after termination of my status as a volunteer to the Corporation.

Special Rules for Health Information (HIPAA)

In addition to the above, I understand that federal law (including the Health Insurance Portability and Accountability Act ('HIPAA')) has special rules for protected health information and requires that all health information that may in any way identify an individual must be maintained confidentially. I will not at any time, either during or after serving as a volunteer to the Corporation, use, access, or disclose individually identifiable health information - whether in oral, written, or electronic form and regardless of the manner in which access was obtained - to any person or entity, internally within the Corporation or externally, except as required or permitted to perform my volunteer functions for the Corporation. I will not reveal to anyone a confidential access code (e.g., user ID, password, etc.) that may be assigned to me to access the Corporation's information systems. I will comply with all of the Corporation's HIPAA policies and procedures. I will notify the Corporation's Privacy Officer (or Security Officer if electronic information is involved) if I become aware of or suspect any improper use, access, or disclosure of individually identifiable health information by myself or any other person, and I understand that such notice in good faith will be held in confidence by the Corporation to the extent permitted by law and the Corporation's policies and procedures. I understand that the unauthorized use, access, or disclosure of such health information may result in termination of my services, among other potential consequences, and I understand that HIPAA contains criminal provisions for knowingly misusing or disclosing individually identifiable health information. I understand that the obligations addressed in this Section 2 will survive the termination of my volunteer services and shall not be superseded by any other agreement unless specifically acknowledged by the Corporation and me.

Copy Rights

All writings, tapes, recordings (audio or visual), computer programs and other works in any tangible medium of expression regardless of the form of medium, which have been or are prepared by me, to which I contribute, in connection with my serving in the capacity as a volunteer to the Corporation (collectively the 'Works') and all copyrights and other rights in and to the Works, belong solely, irrevocably and exclusively throughout the world to the Corporation as if they were works made for hire. However, to the extent any court or agency should conclude that the Works (or any of them) do not constitute or qualify as a 'work made for hire,' I hereby assign, grant and deliver, solely, irrevocably, exclusively and throughout the world to the Corporation, all copyrights and other rights to the Works. I also agree to cooperate with the Corporation and to execute such other further grants and assignments of all rights as the Corporation from time to time reasonably may request for the purpose of evidencing, enforcing, registering or defending its ownership of the Works and the copyrights in them, and I hereby irrevocably constitute and appoint the Corporation as my agent and attorney-in-fact, with full power of substitution, in my name and stead, to execute and deliver any and all such assignments or other instruments which I shall fail or refuse promptly to execute and deliver, this power and agency being coupled with an interest and being irrevocable. Without limiting the preceding provisions of this paragraph, I agree that the Corporation may edit and otherwise modify, and use, publish and otherwise exploit, the Works in all media and in such manner as the Corporation, in its discretion, may determine.

Return of Materials

Upon termination of my status as a volunteer for any reason or at any time at the Corporation's request, I shall deliver to the Corporation all of its patient lists and information, papers, materials, documents, plans, computer printouts, records, drawings and software and all copies thereof which may be in my possession or under my control.

Miscellaneous

If any term of this Agreement shall be found to be illegal, invalid or unenforceable by a court of competent jurisdiction, it is the intention of the parties that the remaining terms shall constitute their agreement with respect to the subject matter hereof, and all such remaining terms shall remain in full force and effect. This Agreement shall inure to the benefit of the Corporation and its successors, assignees, and designees and shall be binding upon me and my heirs, executors, administrators and personal representatives. This Agreement shall be governed by and construed under the laws of the State of Georgia. This Agreement constitutes the entire agreement between the Corporation and me with respect to the subject matter hereof and shall not be modified, amended or terminated except by another agreement in writing executed by the parties hereto.

Volunteer Release and Waiver of Liability 

In consideration of being permitted to participate as a volunteer for Hemophilia of Georgia, Inc. ('Hemophilia of Georgia'), I waive all claims against Hemophilia of Georgia, Inc., their officers, directors, agents, employees, volunteers, or any other parties contracted by them for services provided during or in connection with these activities with which I participate. I understand that I will be responsible for any damages, injuries, and/or illnesses that may occur to me during or as a result of my participation in this activity. My services to Hemophilia of Georgia, Inc. are on a voluntary basis, and I am not entitled to nor shall I receive any compensation or employee benefits of any kind. I hereby agree that Hemophilia of Georgia may verify the information that I have provided in this application by contacting persons or organizations named in this application, and/or by contacting any other person or organization that may have information concerning me. For overnight events and youth camps, this will include a criminal background check. I hereby release and hold harmless from liability Hemophilia of Georgia for requesting information about me in connection with this application and any person or organization that provides information about me in connection with this application. I also agree to hold harmless Hemophilia of Georgia, the officers, employees, and volunteers thereof.

Volunteer Photo Waiver/Media Release

I give Hemophilia of Georgia, permission to use photographs or other images of me/my child in public relations activities and promotional materials including, but not limited to, videotapes, pamphlets, and brochures. I give permission for my photographs to be posted on Hemophilia of Georgia's website, and I further acknowledge that Hemophilia of Georgia shall have all rights of copyrights in and to such photographs and videotapes and may exploit such copyright fully. I release and waive all rights and interests in and to such materials.

Volunteer Expectations and Responsiblities 

Volunteers at Hemophilia of Georgia may be asked to participate in a variety of activities/events to support the various programs and services offered. Activities include, but are not limited to, physical activities such as biking, canoeing, horseback riding, ropes course, archery, tennis and swimming. Many programs are held outdoors, and volunteers may be expected to participate in the event regardless of current weather conditions. All volunteers at Hemophilia of Georgia may be expected to lift and carry program supplies and materials up to 40 lbs. If you have any condition that might interfere with your ability to perform the tasks described above, please let us know.

Volunteers are liaisons between Hemophilia of Georgia and the public. Always be aware that you are a representative of Hemophilia of Georgia at this event and conduct yourself accordingly. You may be assigned to work in an area where celebrities are present. NEVER solicit autographs or personal photographs. Our supporters value their anonymity at our events.

Volunteers should never post photos or identify participants by name on the Internet. This includes blogs, personal web pages, photo sharing sites such as SnapFish and Flickr, and social networking sites such as MySpace, Instagram and FaceBook.

Volunteer Standards of Conduct:

I agree to abide by the following standards of conduct:

a. I will not hit or physically strike a child for any reason.
b. I may only touch campers on the hand, shoulder, or upper back, and only in the presence of other adults.
c. I will not touch campers in a place that is not normally covered by a bathing suit.
d. I will not touch a camper against his/her will, whether expressed verbally or non-verbally.
e. I will not tickle, tease, make fun of or scare a camper to the point they are over stimulated, uncomfortable or out of control.
f. I will ensure that two people are always present when a camper is present.
g. I will not be alone with a camper in the cabin or an activity area.
h. I will not share a bed or sleeping bag with a camper, under any circumstances.
i. I may not use abusive, foul or derogatory language with campers.
j. If I encounter a particularly difficult behaving child, I will seek the assistance of a Head Staff or the Camp Director.
k. I will report inappropriate or suspicious behavior by another staff member to the Camp Director.
l. I will not encourage or allow campers to participate in pranks of any kind.
m. I will set limits with campers that 'cling' or hang on me.
n. I will not share my personal/romantic life with campers.
o. I will not possess or consume alcoholic beverages or tobacco products, including vapes of any kind.
p. I will not possess or use illegal drugs.
q. I will not posses firearms, knives, or weapons of any kind.
r. I will follow all rules, guidelines and procedures set forth by Camp Wannaklot.

Confidentiality

It is the policy of Hemophilia of Georgia that the confidentiality of those affected by a bleeding disorder be strictly maintained. By participating in this event, the Participant agrees that he or she will not use any information obtained as a result of his or her participation, including without limitation any information regarding other event attendees, for any purpose other than those stated in the program.

Health and Well-Being

If you are feeling ill or showing any signs of illness, we kindly ask that you refrain from attending the event out of consideration for others.

Please contact your contact at HoG to inform them that you are ill and unable to volunteer for the event.

By choosing to attend, you acknowledge that Hemophilia of Georgia cannot guarantee a germ-free environment and assumes no responsibility for any illness that may result from participation.

The health and the well-being of our volunteers and participants is our top priority. Thank you for your understanding and cooperation.

Acknowledgment of Waiver

I have read and understand this policy and agree to abide by it. Failure to abide by these expectations may result in termination of my volunteer service for Hemophilia of Georgia. *