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Volunteer Registration

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Wallkill Reformed Church

Location

45 Bridge St

Wallkill, NY 12589

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Contact Jeff Wells:

845-895-2181

jwells12589@gmail.com

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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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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Comments

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Availability

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Date Of Birth

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Gender

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How did you hear about this year's VBS program?

Multiple selections are allowed.

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Have you been a crew leader in the past?

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Note: By signing up to be a Scuba VBS crew leader you are giving permission to have your picture taken and for the photo to be used for the Wallkill Reformed Church Facebook and Instagram pages. No names will be disclosed.

Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

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