Nursing Home Fall Fest Volunteer Form

Hello! Thank you for joining us as we respond to help our brothers and sisters in need. Let us see this opportunity to serve as an opportunity to love Jesus who is in deed in those we will encounter and serve on this day of service.

"And the king will answer them, 'Truly I tell you, just as you did it to one of the least who are members of my family, you did it to me.'" (Matthew 25:40)

Volunteer Intake Form
Name
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Birthdate //
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Phone --
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Email
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School
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Equipment & Special Skills
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Emergency Contact
Emergency Contact (Name):
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Relationship
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Phone --
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Liability Waiver
I agree on behalf of myself, my heirs, successors, personal representatives and assign to protect, indemnify, save, and hold harmless the Diocese of Corpus Christi, St. Philip the Apostle Catholic Church and their officers, directors, agent,s employees, or representatives associated with the parish adult faith formation program from all damages, claims, suits, expenses and payment on account of or resulting from conditions stated on or resulting from any such injury, death, or damage to property, including resulting from the negligence of the Diocese of Corpus Christi, and parish, and or their officers, directors, and employees arising from or in connection with my attending H.S.Y.M. Day of Service on September 14, 2019.
List (Dropdown)
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