Summer Adventure 2017 Volunteer Youth

This form is to be completed by all prospective volunteers (under the age of 18) for the Summer Adventure program.

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*School:
*Gender:
Child Info/Special Needs (Asthma, allergies, physical limitations, custody concerns, etc.:
*Date of Birth:
*Age:
*Grade in fall of 2017:
*Parent/Guardian Name:
*Parent/Guardian Primary Phone Number:
Parent/Guardian Secondary Phone Number:
Alternate Contact Name:
Alternate Contact Relationship:
Alternate Contact Phone Number:
*Youth's Phone Number:
*Do you regularly attend Grace?:
*Are you a Christ-follower?:
*Are you living a life that is pleasing to the Lord?:
Volunteer before the adventure begins!:
During Summer Adventure, I would Like to help in the following area(s) of Ministry: :
Option 1.:
Option 2.:
Option 3.:
"Other" Description:
Select age or grade you'd like to work with.:
** You must be at least 4 grades older than the grade you will be working with.:
Option 1:
Option 2:
Option 3:
*If you do not have your shirt from Summer Adventure 2016, please indicate your shirt size below, otherwise, you can help us reduce costs by wearing last year's shirt. Thank You!:
Shirt Size (Female):
Shirt Size (Male):
*Authorization:
*Photo Release:
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