Minor's Volunteer Application • North Central Church

North Central Church encourages the participation of volunteers who support our mission. If you agree with our missions, we encourage you to complete this application. All information contained in this application will be kept confidential. It will be available only to those who have a genuine need to know in order to carry out their responsibilities at North Central Church or as required by law.

This form is to be completed by minor and parent/guardian.

Thank you for your interest in serving our church.

First Name *

Last Name *

Mailing Address *

Mailing Address Line 2

Mailing City *

Mailing Zip Code *

Mobile Number *

Email Address *

Date of Birth *

Any physical limitations? *

If yes, what are the limitations?

Emergency Contact Name 1 *

Emergency Contact Number 1 *

Team applying to work with *

As a volunteer of North Central Church, I understand that I will be volunteering at my own risk and that the church, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the church. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.

Digital Signature (First and Last Name)

Minor's Signature (By typing your name here, you agree with the above information.)

Parent/Guardian Signature (By typing your name here, you agree with the above information.)

Placing an "X" below, indicates we would like to sign this document in person.

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