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Volunteer Registration

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Mt. Olive Lutheran Church

Location

10408 W US 290

Austin, TX 78736

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Contact Mt. Olive Lutheran Church:

512-288-2370

finance@connectwithJesus.org

Tell us about yourself:

What positions are you interested in?

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First Name

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Last Name

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Date Of Birth

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Address 1

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Address 2

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City

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State/Province

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ZIP/Postal Code

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Phone

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Text Message Phone

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How would you like to help?

Multiple selections are allowed.

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Shirt Size

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Allergies

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Medical Concerns

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Comments

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Availability

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Emergency Contact

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Emergency Contact Phone

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I hereby give my permission for Mt Olive Lutheran Church to use, publish, or disclose in newsletters, brochures, periodicals, posters, websites, or other media-related vehicles, any photographs, videos, audios or other promotional materials, in which, I or my child have appeared, spoken, written or otherwise been represented. My acknowledgement releases Mt Olive Lutheran Church to use any of the aforementioned materials. I understand that a copy of this release will be kept on file to indemnify Mt Olive Lutheran Church against any of their use of the materials indicated.

Media Release Agreement

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In participating with/at Mt Olive Lutheran Church, I understand I willfully and freely participate in this program under my own volition/personal responsibility and liability. As such, I fully understand that I participate solely under my own liability/family insurance plan germane to any risk factor that may arise during the trip/event, either foreseeable or unforeseeable, but not limited to: medical emergency, hospitalization, accident, dismemberment or death. I further understand and agree to hold harmless in law and in equity any of the Mt Olive Lutheran Church or Staff, or any individuals or congregations participating in these proceedings, for any negligence, or personal/group satisfaction/dissatisfaction pertaining to any aspect of the program or travel related to this event.

Liability Release Agreement

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I understand that all reasonable care will be taken to avoid accident or injury while on all trips and events with Mt. Olive Lutheran Church and release the church staff and volunteers from liability. In the event of an emergency, I understand every effort will be made to contact the emergency contact listed on this form. In the event that they cannot be reached, I grant permission to the staff of the trip/event to secure medical and/or surgical care for me or my minor volunteer named above. I understand that Mt Olive Lutheran Church does not carry insurance for its youth participants or volunteers and agree to accept the expense of emergency care through my medical and/or personal resources.

Medical Release Agreement

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