Forms

Click here for Shane Center Policies & Frequently Asked Questions (Lesson Fees, Attire, Missed Classes, etc.) 

Click here for our 2016 Calendar 

Forms for Participants:

1.      Initial Assessment Form ( for NEW PARTICIPANTS to be completed during scheduled visit by SCTH. staff) 

2.      Registration Form (PDF)

3.     Liability Release Form (PDF)

4.   Health History Form (PDF)

5.  Physician’s Statement & Medical Clearance (UPDATED ANNUALLY)  (PDF)

6.  Emergency Authorization Form (UPDATED ANNUALLY) (PDF)

7.  Goals & Objectives (UPDATED ANNUALLY)  (PDF)

8. Care Plan for Health Conditions (ONLY NEEDED IF PARTICIPANT HAS A HEALTH CONDITION THAT MAY REQUIRE TREATIMENT i.e. bee stings, diabetes)  (UPDATED ANNUALLY) (PDF)  

9.  Media Release Form (PDF)

 

Forms for Volunteers 

1.     New Volunteer Information Form (PDF)

2.  Registration Form ( PDF )

3.  Liability Release Form (PDF)

4.   Confidentiality Agreement  (PDF)

5.  Media Release Form (PDF)

6. Emergency Authorization Form (UPDATED ANNUALLY) (PDF)

7. Care Plan for Health Conditions (ONLY NEEDED IF VOLUNTEER HAS A HELATH CONDITION THAT MAY REQUIRE TREATMENT i.e. bee stings, diabetes, etc.) (UPDATED ANNUALLY)  (PDF)

8. Initial BCI & I Fingerprint Background Check (All volunteers 18 years & older to be done at your local law enforcement agency and results sent to SCTH)

9. Statement of Nonconvicition (UPDATED ANNUALLY) (PDF)

10.  Volunteer Training Manual (PDF)