VOLUNTEER RELEASE FORM
Church/Organization: _________________________________________________
Team Leader: ________________________________________ Cell #: (______) ______ __________
First Name: __________________________ MI: _____ Last Name: __________________________
Address: _____________________________________________________
City: __________________________ State: _____ Zip: ___________
Home #: (______) ______ __________ Cell #: (______) ______ __________
Email________________________________________________________
Please list any construction skills you have: ____________________________________________________
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Please list any medical conditions you have that could hinder you in manual labor: _____________________
________________________________________________________________________________________
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ER Contact #1: ________________________________________ Relationship: ____________________
Home #: (______) ______ __________
Work #: (______) ______ __________
Cell #: (______) ______ __________
ER Contact #2: ________________________________________ Relationship: ____________________
Home #: (______) ______ __________
Work #: (______) ______ __________
Cell #: (______) ______ __________