T Zone Adult Registration
All adults MUST complete this registration.
Church Name *
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Address, City, State, Zip *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
T Shirt Size *
Home Phone *
Your answer
Cell # During T Zone *
Your answer
In case of an emergency, please contact: *
Your answer
Phone Number *
Your answer
Do you have any special concerns or limitations regarding type of work done?
Your answer
Will you be participating for the full week, or on certain days? *
Required
What is your vehicle capacity including yourself? *
Your answer
Please inform us of any preferred worksites or gifts you have. This will help determine which sites might be appropriate for your group members. PLEASE be flexible in this area and ultimately be willing to go where you are needed most.
Health History: Please list any allergies (food, medication, etc), illnesses, diseases or special concerns that T-Zone staff should be aware of.
Your answer
Have you been approved by your church to work with children/youth? *
Do you have a current background check in file with your church? *
Do you have a valid driver's license? *
Do you have up-to-date car insurance? *
Have you ever been convicted of a felony? *
If yes, please explain. If no, enter "n/a". *
Your answer
Have you ever been accused of any sex related or child abuse offense? *
If yes, please explain. If no, enter "n/a". *
Your answer
I fully support the efforts of T Zone to provide a safe environment in our camps. I certify, to the best of my knowledge, the information that I have provided on this form is true and accurate. I authorize any investigation, including a background check, of any or all statements made on this form. *
I understand that, in addition to this online form, I must also bring a signed release form with me to T Zone. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms