Volunteer Release Form

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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:  ____________________________________________________ 
________________________________________________________________________________________ 
________________________________________________________________________________________ 
 
Please list any medical conditions you have that could hinder you in manual labor:  _____________________ 
________________________________________________________________________________________ 
________________________________________________________________________________________ 
________________________________________________________________________________________ 
 
ER​   Contact #1:  ________________________________________     Relationship:  ____________________ 
Home #:  (______)  ______ ­ __________ 
Work #:   (______)  ______ ­ __________  
Cell #:      (______)  ______ ­ __________ 
  
ER​   Contact #2:  ________________________________________     Relationship:  ____________________ 
Home #:  (______)  ______ ­ __________ 
Work #:   (______)  ______ ­ __________  
Cell #:      (______)  ______ ­ __________ 
 

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