The Portal

Summer Adventure 2021 Youth Volunteer

This form is to be completed by all prospective volunteers under the age of 18.

To parallel the mission of our church, we ask that all volunteers partnering with us in Summer Adventure be regular attenders of Grace Baptist Church's Sunday services.

*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 2021:
*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 GBC's Sunday services?:
To reiterate: we ask that all volunteers partnering with us in Summer Adventure be regular attenders of Grace Baptist Church:
*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:
Shirt Size (Men's Cut Shirt):
The following MUST be authorized by a parent/legal guardian and signed below:
*Authorization:
*Photo Release:
Waiver Acknowledgment ASSUMPTION OF THE RISK AND WAIVER OF LIABILITY RELATING TO CORONAVIRUS/COVID-19 - The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited or limited the congregation of groups of people. - Grace Baptist Church has put in place preventative measures to reduce the spread of COVID-19; however, the Church cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Church or Church-related activities could increase your risk and your child(ren)'s risk of contracting COVID-19. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -:
By affirming this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Church or Church-related activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Church or Church-related activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Church employees, volunteers, and Church-related activity participants and their families. - I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at the Church or participation in Church-related activities ("Claims"). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Church, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Church, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Church-related activity.:
I understand and agree that the law of the State of California will apply to this Waiver of Liability. Please sign that you acknowledge and agree to this Waiver of Liability, and that you are aware that as of now, children ages 3 and up will be required to wear a mask.:
*Please type in your name as your signature: