FUN —Elementary— Adult Leader Interest Form

June 12-16, 2023 • 9AM-1PM

July 17-21, 2023 • 9AM-1PM

Please use this form to let Kids Ministry know you are interested in serving with Elementary FUN Camp.
You will be contacted regarding your interest to serve.

OPTIONS:
Elementary FUN Camp - Week 1 • June 12-16
Elementary FUN Camp - Week 2 • July 17-21

STEP 1: Please complete one interest form per adult.

PERSONAL INFO

student name

First Name *

Last Name *

adult info

Cell *

Home Phone

Email *

Email

Confirm Email

T-Shirt Size *

ADDRESS

Address *

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City *

State *

Zip *

EMERGENCY CONTACT

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Name *

Cell *

Relationship *

SERVE INFO

Have you volunteered at University Carillon Camps in prior years? *

Yes
No

Which Elementary Fun Camp week(s) will you be working: *

Want to be with your child? Enter their first and last name.

*Placement of serving positions are not guaranteed but will be considered.

I am First Aid/CPR certified. *

Yes
No

*PHOTO/VIDEO RELEASE

For privacy and safety, we will not publish names with photographs/videos.
I authorize the use/release of photographs and/or videos that include the INDIVIDUALS NAMED ABOVE for University Carillon use, in print and electronic materials (worship videos, e-mail blasts, church website, Facebook, etc.).

Photo/Video Release: *

Given
Denied

*RELEASE

Submitting this on-line form will be the equivalent of signing a paper registration form.

I have read and understand the above information. The information I have given University Carillon is accurate and true to the best of my knowledge.
My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper registration form.

Release *

Yes, I agree

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Adult Electronic Signature *

Date *

After submitting your form, WATCH FOR Confirmation Email.

One from our web specialist with the responses from your registration.