ADULT - INFO/RELEASE FORM 2022

T-Shirt Size:

I have completed the FBC Sylvester Child Safety paperwork.

IF NOT PLEASE SEE BOBBY NOW!

I will be able to work on the following evenings:

I will be able to be at the church by 6 PM each evening I am working.

I am most interested in helping with (Please rank 1-4 with 1 being the highest)

I would be able to lead a group using the following equipment:

Yard Work:

Painting:

Construction:

I would like to work on the same team with:

The following medical information may be necessary in case of emergency:

CURRENT TETANUS:

Allergies:

Check all that apply.

TOBACCO:  I will not use any form of tabacco (smokeless, vape or cigarettes, etc) during MISSION: SYLVESTER.

LANGUAGE/TOUCH:  During Mission:  Sylvester I will refrain from any unpleasant language.  I will also not use derogatory remarks toward students or other adults.  I will also refrain from any hugging or inappropriate touching of students during the project.