Contact Us Be Prepared to Be Challenged Be Prepared to Be Empowered Be Prepared to Change the Way you See Yourself Instagram Contact Us Looking for more information of what Camp Molly has to offer? Reach out to us via our online form and one of our staff will be in touch with you shortly!Want to register for a camp? View our application form.Want to volunteer at a camp? View our Volunteer form below. Reach out today! Name Email Reason for messaging -- Select Reason for Contact -- General Inquiry Interested in Hosting a Camp Become a Volunteer Message Send Message Apply To Volunteer With Camp Molly Select Which Camp Molly You Are Applying For Durham: Sept 14th - 17th Vaughan: October 12th -15th Our days for volunteers run typically 0730-1630. With the last day ending at 1500. Days Available Thursday Friday Saturday Sunday First Name Last Name: Your Email Address Pre Service Program: Semester: Do you have Fire Volunteer Experience? yes no Years of Experience: Describe Your Experience: Are you certified in any Fire Related Courses? yes no If yes, which? What are your interests/ areas in which you would like to help? (ex: medical, auto ex. etc.) What are you hoping to get out of this experience? The following questions will help to ensure that you have a safe physical activity experience. Please answer YES or NO to each question: Have you experienced ANY of the following within the past 6 months? A diagnosis of/treatment for heart disease or stroke, or pain/discomfort/pressure in your chest during activities of daily living or during physical activity? yes no Dizziness or lightheadedness during physical activity? yes no Loss of consciousness/fainting for any reason? yes no A diagnosis of/treatment for high blood pressure (BP), or a resting BP of 160/90mmHg or higher? yes no Shortness of breath at rest? yes no Concussion? yes no None of the above. yes no Do you currently have pain or swelling in any part of your body (such as from an injury, acute flare-up arthritis, or back pain) that aects your ability to be physically active? yes no Has a health care provider told you that you should avoid or modify certain types of physical activity? yes no Do you have any other medical or physical condition (such as diabetes, cancer, osteoporosis, asthma, spinal cord injury) that may aect your ability to be physically active? yes no During a typical week, on how many days do you do moderate- to vigorous- intensity aerobic physical activity (such as brisk walking, cycling or jogging)? On days that you do at least moderate- intensity aerobic physical activity (e.g., brisk walking), for how many minutes do you do this activity? To the best of my knowledge, all of the information I have supplied on this questionnaire is correct. Agree I herby certify that the facts set forth in this application are true and complete to the best of my knowledge. yes no Camp Molly oers a unique and rewarding experience, which often captures the attention of media outlets. To ensure that names of volunteers are not published without permission, you are asked to sign for consent below. I hereby give permission to have my photo/video taken to be used in any publications, promotional and/or marketing collateral (i.e. brochures, website, advertising, social media, etc.); and local media coverage without compensation. Names will not be published without permission. Photo and Video Permission Agree Send