Form

Family Fun Night - Teen Volunteer Registration

This form is for teens who would like to volunteer to help at Family Fun Night
Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number
Birthday *

- Month - Day Year
Grade Just Completed *
What size t-shirt would you like? *

T-Shirt $ 10.00

T-Shirt Size
Health Information

Just in case...
Food Allergies or Other Medical Conditions
I hereby give my permission to Riverside Bible Camp to provide routine, non-surgical medical care, and to secure emergency medical treatment for the volunteer named above for the duration of their time at Family Fun Night, if necessary.
Parent/Guardian Name (Serves as a signature of agreement) *
Emergency Contact Information

Who can we contact if something goes wrong?
Father's Name *

First Name Last Name
Mother's Name *

First Name Last Name
Emergency Contact Name *

First Name Last Name
Emergency Contact Relationship to Volunteer *
Emergency Contact Phone Number *

- Area Code Phone Number
Emergency Contact Cell Phone Number

- Area Code Phone Number
Your Commitment
I understand that by registering to volunteer for FAMILY FUN NIGHT, I am committing to be at Family Fun Night on Friday, June 16th from 4:00-9:30pm. If there is an emergency, and I am unable to be at Family Fun Night during the time listed above, I will notify the directors immediately so that they will have adequate time to find someone to cover my position.

I understand that by registering for FAMILY FUN NIGHT, I am agreeing to share myself totally with children and staff for a concentrated period of time and that it will take an abundance of patience, understanding, energy and especially love. I am committing myself to being a good Christian example, obeying the rules, being prompt, being a positive example to others, and being willing to do whatever is asked.
Your name (serves as a signature of agreement) *
Should be Empty:

Family Fun Night - Teen Volunteer Registration

Health Information

Emergency Contact Information

Your Commitment