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First Name
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Volunteer Registration Form
Adult or Youth Volunteer
Youth
Adult
If Youth, Grade NEXT Year
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
If Youth, Parent/Guardian Name
First Name
Last Name
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Phone Number (If Youth, Parent's Phone)
Email
Allergies
Which areas are you interested in volunteering?
Pre-School
Crew Leader
Assistant Crew Leader
Games
Snacks
Anywhere there's a need!
PHOTOGRAPHIC RELEASE:
I hereby release to Lockport Alliance Church the rights of my (or my youth's) image, or likeness, for the purpose of Lockport Alliance Church's newsletters, websites, fund development efforts, and/or newpapers.
Signature
If Youth, Parent/Guardian Signature
Emergency Contact Information
Contact First Name
Contact Last Name
Contact Phone Number
Do you have a child(ren) for:
Nursery (0-2)
Pre-School
Elementary
Child(ren) Name and Age
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