Registering A High School Volunteer
If you are younger than 18, a parent needs to fill this out, even if you can drive yourself.
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Student Last Name *
Student First Name
Student's Birthday *
T-shirt Size For Your Student
Parent/Guardian(s) Name *
Address *
City *
Parent email *
This will be used to keep you updated on program schedule
Primary Phone *
please include a name with your primary phone number. We will be texting this number any camp schedule changes. (Example: We are stuck in traffic and will arrive at the church after 5pm) If you don't want to be included, let know
Alternative Phone
Emergency Contact Name *
Emergency Contact Number *
Approved persons to pick up child besides above parent/guardians, and/or you write here your permission for students to walk home:
You can list a neighbor, grandparent, older sibling that you trust to take your child home. **Note: For your child's safety, only those listed on this form will be allowed to pick up your child.
Any other information you think we should know about your child
medical information, behavioral issues,  things that might make them feel welcome; anything that might help us better relate to your child
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