Adolfo Camarillo High School Community Service Athlete Program
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1Adolfo Camarillo High School
Community Service Athlete Program
40 Hours Required
is a student-athlete at
______________________________________________________________
Camarillo High School and a member of our Community Service Athlete program. Our goal
is to provide opportunities to student-athletes who wish to make a positive contribution to
the lives of others and to the community. As an officer of a community service organization
in partnership with our program, please fill in appropriate areas of the chart below and sign
to verify when this student successfully completes volunteer service for your organization.
Mary Perez, Athletic Director – Adolfo Camarillo High School
805-389-6439 or Mary.Perez@ouhsd.k12.ca.us
Athletic Director
Organization
Date(s)
Hour(s)
Supervisory Signature
Contact Phone
Approval – Prior to
Worked
Worked
Number
beginning of Service
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