August 1– 4, 2019 On - Site Registration Form Name _____________________________________________________________________________

Address ___________________________________________________________________________

Best Phone #____________________________

E-mail _________________________________________________Text Preferred: Yes _ No_

I/we have completed Release and Waiver of Liability-Volunteer Form: Yes__ No___Please submit payment at the time of registration. $25 per person ($75 max. per family).

Amount ____________ Cash Check Check #________

Please indicate T-shirt size: S____ M____ L____ XL____ XXL____

Please sign up each person in your family/group and circle the time(s) they anticipate serving. Children 12 years and older are welcome to work with a parent/guardian on job sites.

Thursday – Saturday - 7:30AM -12PM, or 1PM-5PM, Sunday 8:00AM-12:00(if needed)Volunteer Child’s Age Thurs. 8/1 Fri. 8/2 Sat. 8/3 Sun. 8/4 (if

needed)

AM PM AM PM AM PM AM

AM PM AM PM AM PM AM

AM PM AM PM AM PM AM

AM PM AM PM AM PM AM

Childcare will be provided Thursday thru Saturday from 8AM – 1PM, for ages five (5) years through entering 4th grade. Please sign up your child below and mark each day you anticipate they will participate in Childcare.

Child’s Name Age Thurs. 8/1 Fri. 8/2 Sat. 8/3 Contact Info.

I/WE WILL MAKE A MONETARY DONATION: AMOUNT $________ CASH___ CHECK___

PLEASE TURN IN YOUR REGISTRATION FORM NO LATER THAN JULY 14, 2019!

Please let us know of any special trade skills/gifting for each Participant: Place a 1 next to any skill that is your trade or specialtyPlace a 2 next to any skill you feel confident performing

Please let us know if you have any tools or equipment you would be willing to use on project sites.

#1 Participant’s Name:Prayer Electrical Chainsaw Construction KitchenEvangelism Insulation Fencing Cement NurseryComputers Carpentry Wood-splitting Lawn CareNurse RN/LPN Gutters Painting Gardening OTHERCourier Decks Windows TillingMoving Power

WashingAuto Mechanic Wheelchair Ramps

House Cleaning

Bobcat Land Scape Photography

#2 Participant’s Name:Prayer Electrical Chainsaw Construction KitchenEvangelism Insulation Fencing Cement NurseryComputers Carpentry Wood-splitting Lawn CareNurse RN/LPN Gutters Painting Gardening OTHERCourier Decks Windows TillingMoving Power

WashingAuto Mechanic Wheelchair Ramps

House Cleaning

Bobcat Land Scape Photography

#3 Participant’s Name:Prayer Electrical Chainsaw Construction KitchenEvangelism Insulation Fencing Cement NurseryComputers Carpentry Wood-splitting Lawn CareNurse RN/LPN Gutters Painting Gardening OTHERCourier Decks Windows TillingMoving Power

WashingAuto Mechanic Wheelchair Ramps

House Cleaning

Bobcat Land Scape Photography

#4 Participant’s Name:Prayer Electrical Chainsaw Construction KitchenEvangelism Insulation Fencing Cement NurseryComputers Carpentry Wood-splitting Lawn CareNurse RN/LPN Gutters Painting Gardening OTHERCourier Decks Windows TillingMoving Power

WashingAuto Mechanic Wheelchair Ramps

House Cleaning

Bobcat Land Scape Photography

Equipment or Tools available to use on project sites include: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________