Portal Portal Public arrow_drop_down Public Event Calendar Online Giving Group Finder Opportunity Finder Mission Trip Giving Mission Trip Registration Make A Pledge Find Group by Survey Find Opportunity by Survey Private arrow_drop_down Private My User Account My Giving My Purchase History My Contribution Statement My Groups My Events My Mission Trips My Subscriptions My Profile My Giving Profile Church Directory My Calls My Pledges Show Summary (0) anonymous Login Summer Adventure 2016 Youth Volunteer Registration This form is to be completed by all prospective volunteers (under the age of 18) for the Summer Adventure program. *First Name*Last Name*Email Address*Phone Number*Address Line 1Address Line 2*City*State/Province/Region*Zip/Postal Code*School:*Gender:-- Select --MaleFemaleChild Info/Special Needs (Asthma, allergies, physical limitations, custody concerns, etc.:*Date of Birth:*Age:*Grade in fall of 2016:*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?:YesNo*Are you a Christ-follower?:YesNo*Are you living a life that is pleasing to the Lord?:YesNoBefore Summer Adventure, I would like to help by::Praying for Summer AdventureSetting up decorationsMaking cookies and snacksSummer Adventure Info Booth - SaturdaysSummer Adventure Info Booth - SundaysOffice HelpDuring Summer Adventure, I would Like to help in the following area(s) of Ministry: :Option 1.:-- Select --Trail Guide (Small Group Leader)Assistant Trail GuideOffice AgentAssistant Activity Guide (Recreation)One-on-One Guide (Special Needs Buddy)Where Most NeededOther (select only if instructed to do so)Option 2.:-- Select --Trail Guide (Small Group Leader)Assistant Trail GuideOffice AgentAssistant Activity Guide (Recreation)One-on-One Guide (Special Needs Buddy)Where Most NeededOther (select only if instructed to do so)Option 3.:-- Select --Trail Guide (Small Group Leader)Assistant Trail GuideOffice AgentAssistant Activity Guide (Recreation)One-on-One Guide (Special Needs Buddy)Where Most NeededOther (select only if instructed to do so)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:-- Select --Nursery (Infant-33 Months)3 Year Olds4 Year OldsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeWhere Most NeededOption 2:-- Select --Nursery (Infant-33 Months)3 Year Olds4 Year OldsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeWhere Most NeededOption 3:-- Select --Nursery (Infant-33 Months)3 Year Olds4 Year OldsKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeWhere Most Needed*Authorization:I hereby give permission to the medical personnel selected by GBC to order X-rays, routine tests and treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by GBC to secure and administer treatment, including hospitalization, ambulance transport and paramedics for the person named above. I hereby agree to fully pay all costs of medical or dental care incurred by GBC or their agent for the child under this authorization. Pictures may be taken during the event for promotional use. Submit Form