<strong>Anyone 18 years or older is required to fill out a background check for safety reasons</strong>
Anyone 18 years or older is required to fill out a background check for safety reasons

Name

Address

Your Email

Phone Number

Area(s) to Volunteer
 Snack Bible Craft Games Travel Group Leader Skits

Days Available
 Monday Tuesday Wednesday Thursday Friday

Shirt Size (Adult Sizes)
 Small Medium Large XL XXL

Other notes, questions

<strong>All registrations are due by July 9, 2017</strong>
All registrations are due by July 9, 2017
<strong>For any child entering kindergarten through the 5th grade</strong>
For any child entering kindergarten through the 5th grade

Child's Name

Gender
 Male Female

Birthdate

Grade Completed

Age

Food Allergies?

Parents/Guardian

Address

Home Phone

Cell Phone

Work Phone

Your Email


Emergency Contact

Phone

Relation to Child


Name of Home Church

Medical Concerns?

Other notes, questions