THANK YOU FOR SERVING
WITH US ON CAMPUS!

First Name

Last Name

Street Address

City, State, Zip

Phone

Company or Organization (enter “N/A” if not applicable)

Emergency Contact Name

Emergency Phone Number

Are you registering as a minor (under 18)?

Yes

Parent/Guardian Name (enter “N/A” if not applicable)

Parent/Guardian Phone Number (enter “N/A” if not applicable)

Parent/Guardian Email (enter “N/A” if not applicable)

Minor Volunteer Safety Acknowledgment

I understand and acknowledge that:

Volunteers under the age of 18 may only be assigned age-appropriate duties as determined by Grace House staff.
Minor volunteers may operate lawn equipment or hazardous machinery (including but not limited to mowers, weed trimmers, edgers or similar equipment) under supervision of trained Grace House staff.
Some volunteer activities may involve outdoor work, physical activity or environmental conditions that require caution.
Grace House reserves the right to adjust or reassign volunteer duties at any time for safety reasons.

By signing below, I confirm that I have read, understood and agree to the above guidelines.

Signature

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I want to subscribe to your mailing list.

I acknowledge that my volunteer participation with Grace House Ministries, Inc. is voluntary and may involve physical activity or risk of injury. I assume full responsibility for any injury or loss that may occur and release Grace House Ministries, Inc., its staff and affiliates from all liability or claims arising from my participation. I confirm I am physically able to volunteer and have read and agree to this waiver and release.

I grant Grace House Ministries, Inc. and its representatives the unrestricted right to use, reproduce and publish my image, name and/or city of residence in any media for any lawful purpose, without payment or further permission. All such materials shall be the property of Grace House Ministries, Inc.

THANK YOU FOR SERVING WITH US ON CAMPUS!

Minor Volunteer Safety Acknowledgment

THANK YOU FOR SERVING
WITH US ON CAMPUS!