Respite Night Volunteer Signup

Respite Night Signup – Volunteer Signup

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Respite Night Date

Friday, Nov 8 2024 : 6pm-8pm

Liability Release- I understand that as a result of participating in this event, my child and/or the participant in my care, will be involved in various activities in and around Millers Creek Baptist Church’s property. I agree to in no way hold Millers Creek Baptist Church, its employees, volunteers, or directors directly or indirectly responsible should an accident, injury, or death occur during or as a result of this event.(Required)

I Agree

Photography Release* I also understand that I and my child and/or the participant in my care may be photographed or recorded in a video format. I give permission for those photographs and/or videos to be used for any lawful purpose including publicity/promotional illustration, advertising and Web content or other use authorized by Millers Creek Baptist Church.(Required)

I agree

I Decline