Crossgar JYC – Volunteer Registration Form

Volunteer's name: *

First

Last

Date of birth: *

Sex: *

Male
Female

Address: *

Phone: *

Email *

Email

Confirm Email

Crossgar JYC announcements will be sent to this email address.

Next of kin's name: *

First

Last

Next of kin's phone: *

Relationship to volunteer:

Parent
Grandparent
Other relative
Other (state in bottom field)

Medical information:

Are there any medical conditions (i.e. allergies, epilepsy, asthma, diabetes, travel sickness, ADHD, etc.) which we should be aware of?.

Please give any details of special dietary needs we should be aware of (e.g. food allergies)

Photography: *

Yes
No

Do you consent to photos being taken and shared for advertorial purposes (church newsletter/facebook page)?

Volunteer statement:

Please outline why you want to volunteer with young people, your strengths and relevant experience.

Faith:

How would you describe your faith currently?

Commitment: *

I agree

Becoming a volunteer requires responsibility. You should seek to be a good role model to the young people in your care. If you are unable to attend you should let the team leader know asap. Do you agree?

Parental consent (if under 18):

Yes

Anyone under 18 must have permission from a parent or guardian to volunteer before submitting this form.

Any other comments?