Breaker Rock Beach

If you or your child would like to participate in this event as a Volunteer, please complete the following form.

(If you are under 18, please have your parent or guardian complete the form.)
Personal Information

*Type of Volunteer:
Student Helper Grade Completed:
(What grade have you completed as of June 2024)
(Are you either an ACTIVE member of First Norfolk or a First Norfolk LIFEgroup?)

*First Name:
*Last Name:
*Preferred Name for Name Tag:
*Primary Phone:
*Alternate Phone:
*Please indicate an Age Preference:
How would you like to serve?:
*Would you like to serve at St. Mary's?:
*Do you have kids birth - 5 year old attending?:
Names and birthdates of Preschoolers attending: