Volunteer Registration

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St. Matthew Lutheran Church - Walled Lake, MI

Location

2040 S. Commerce Rd

Walled Lake, MI 48390

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Contact Dawn Rupe:

248-624-7676 ext. 103

dawn.rupe@st-matthew.org

Tell us about yourself:

What positions are you interested in?

At least one choice is required.

First Name

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Last Name

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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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Country

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Phone

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Alternate phone

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Shirt Size

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Allergies

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Medical Concerns

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Availability

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Date Of Birth

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Photo/Facebook Release

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Volunteers must have completed 6th grade, or higher - Please indicate Yes or No

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Do you need childcare for a child under 3 years old?

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If 'yes' on childcare, please provide names and ages of child(ren) and any allergies/medical concerns:

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All Volunteers MUST attend a Training Day! Dates will be available soon!

If you cannot attend any Training Days, do NOT choose a LEAD position. Thank you!

Medical Consent/Emergency Release - In case of an accident or serious illness, I hereby give permission to St. Matthew Lutheran Church to secure emergency medical and/or emergency treatment for the above name adult/minor child while in their care.

Multiple selections are allowed.

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Emergency Contact Information (provide name and phone number)

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Please download appropriate Medical Release Form(s) and return completed form(s) to: dawn.rupe@st-matthew.org.

Adult Volunteer Medical Release

Youth Volunteer Medical Release

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