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Volunteer Permission Slip

(Ages 14-18)

Volunteers  should complete the online permission slip (below) or download and return a printable permission slip, which can be accessed HERE. This application should be returned to St. Peter Lutheran Church. (attn: Julie Klopke).  All volunteers will also need to complete a Level 1 protection screening by St. Peter Lutheran Church, if they are age 18 or over. For more information on protection screening process,  please click HERE.

Participant Name *
Participant Name
I give my permission for the person listed below to participate as a volunteer at the to participate as a volunteer at the 2019 Night to Shine, sponsored by the Tim Tebow Foundation at St. Peter Lutheran Church on Friday, February 8, 2019.
Date of Birth *
Date of Birth
Gender *
Address *
Address
Phone *
Phone
Desired Volunteer Roles: Please select 2 – 3 volunteer opportunities
Name of Participant *
Name of Participant
Full name: By typing your full name you certify this as a digital signature
Full name: By typing your full name you certify this as a digital signature (if participant is under age 18)
Address 1 *
Address 1
Phone 3 *
Phone 3
Parent / Guardian Phone (Home)
Parent / Guardian Phone (Home)
Parent / Guardian Phone (Cell) *
Parent / Guardian Phone (Cell)
Full name: By typing your full name you certify this as a digital signature (Parent/Guardian)
Today's Date *
Today's Date