| *First Name: |
__________________________________ |
| *Last Name: |
__________________________________ |
| *Address: |
__________________________________ |
| *City: |
__________________________________ |
| *State: |
__________________________________ |
| *Zip: |
__________________________________ |
| *Cell Phone: |
(______)______-________ |
| *Email: |
__________________________________ |
| *Age Range: |
Middle School Student
High School Student
Adult (circle one) |
| *Do you have a serving preference?: |
Wherever You Need Me
Preschool
Elementary (circle one) |
| *T-Shirt Size: |
__________________________________ |
| *Have you completed the Safe Haven process?: |
Yes
No
Unsure (circle one) |
| Preschool Adventure Week is for children (Infants - Completed Pre-K4) of volunteers. |
| *Do you need to register a preschooler?: |
Yes
No (circle one) |
| LEADER TRAINING: Training & Dinner will be Wednesday, May 13 from 6:00 - 8:00 PM in Simmons Hall. Please make every effort to attend. |
| *Are you able to attend leader training?: |
Yes
No (circle one) |
| *Childcare for Leader Training: |
|
| AW LEADER DINNERS:
A light meal will be provided for leaders and their families during Adventure Week from 4:30 - 5:30 PM. |
| *Do you plan to eat with us during Adventure Week?: |
Yes
No
Unsure (circle one) |
| Comments: |
|
