Project Serve Volunteers

Thank you for volunteering at Fort! Please fill out this form before arriving.

"*" indicates required fields

Volunteer Name*

First Last

Birthdate*

Email*

Mobile Phone*

Phone Carrier*

Gender*

Male

Female

Address

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

Please share any information about food allergies:

If you attend church, what is your church home?

Are you serving as an individual or coming to serve with a group or as a family?*

Individual

Group

Family

What group?

Do you have any children under 17 that you'd like to register/sign for?

Yes

Name of Child under 17

First Last

Gender of Child

Male

Female

Age of Child

Acknowledgement of Risk Form*

I agree to the Agreement & Acknowledgement of Risk

Fort Wilderness Ministries (FWM)

Participant’s Agreement & Acknowledgement of Risk

Although Fort Wilderness Ministries (FWM) has taken reasonable steps to provide you with Staff, equipment, and appropriate support so you can enjoy our programs and activities, these activities are not without risk. Certain risks cannot be eliminated without destroying the unique character of the activity, which could result in, but not limited to, the following: loss or damage to your equipment, financial damage, sickness (including communicable diseases), emotional stress, bodily and/or personal injury, a potential for permanent disability and even death. It is important for us to inform you of the inherent risks.

In consideration for the opportunity to participate in the registered event, and the services of Fort Wilderness, its staff, volunteers, and all other persons associated with its ministry, I, the undersigned on behalf of my family and all those under my care, agree as follows:

The participant named above is physically able to participate in all camp activities and to my knowledge does not have an illness or any communicable disease which could be passed on to staff or other campers

- I accept and acknowledge that many of the activities at FWM has a known and unknown associated risk and I voluntarily accept the risks described above with participation in and transportation to such activities
- I accept personal financial responsibility for any injury or other loss sustained during any and all activities or during transportation to and from the activities, as well as for any medical treatment that is authorized by FWM and rendered to the participant named above
- I release and promise to indemnify, defend, and hold harmless FWM for any injury or adverse consequence arising directly or indirectly from participating in any and all activities or transportation to and from the activities, whether such injury arises out of the actions of FWM, the participant named above, or otherwise
- I give FWM permission to use the image(s) of the participant named above for promotional materials, which may include use in social networks & websites

Do you have any more children under 17 that you'd like to register/sign for?

Yes

Name of Child under 17

First Last

Gender of Child

Male

Female

Age of Child

Acknowledgement of Risk Form*

I agree to the Agreement & Acknowledgement of Risk

Do you have any more children under 17 that you'd like to register/sign for?

Yes

Name of Child under 17

First Last

Gender of Child

Male

Female

Age of Child

Acknowledgement of Risk Form*

I agree to the Agreement & Acknowledgement of Risk

Do you have any more children under 17 that you'd like to register/sign for?

Yes

Name of Child under 17

First Last

Gender of Child

Male

Female

Age of Child

Acknowledgement of Risk Form*

I agree to the Agreement & Acknowledgement of Risk

Do you have any more children under 17 that you'd like to register/sign for?

Yes

Name of Child under 17

First Last

Gender of Child

Male

Female

Age of Child

Acknowledgement of Risk Form*

I agree to the Agreement & Acknowledgement of Risk

Do you have any more children under 17 that you'd like to register/sign for?

Yes

Name of Child under 17

First Last

Gender of Child

Male

Female

Age of Child

Acknowledgement of Risk Form*

I agree to the Agreement & Acknowledgement of Risk

Have you served at Fort Wilderness before?*

Yes

What areas have you served in? Check all that apply.

How long are you traveling to serve at Fort?*

Less than 1 hour

1-2 hours

more than 2 hours, less than 4 hours

more than 4 hours, less than 6 hours

more than 6 hours

When are you hoping to serve? Please include the dates and times of your arrival and departure.

Are you currently under the age of 18?*

Yes

Acknowledgement of Risk Form*

I agree to the Agreement & Acknowledgement of Risk

Parent/Guardian Acknowledgement of Risk

Because you are currently under 18, please have your parent/guardian review and agree to the Acknowledgement of Risk Form.

Acknowledgement of Risk Form*

I agree to the Agreement & Acknowledgement of Risk

Name of the Parent/Guardian Signing Agreement & Acknowledgement of Risk Form*

First Last

Phone of Parent/Guardian Signing Agreement & Acknowledgement of Risk Form

Phone

This field is for validation purposes and should be left unchanged.

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