Rafter Cross Cowboy Church - Camp Volunteer Application

Year

Church

Date of Birth

Driver License Number

Expiration Date

Ms.
Mrs.
Mr.
Dr.

First Name

Last Name

Former/Maiden Name

Child(rens) Name(s)

Address 1

Address 2

Country

City

State

Zip/Postal Code

Phone Number

Gender
Male
Female

Age
18-20 years
21-61 years
62 years & over

Email Address

Emergency Contact Person

First Name

Last Name

Relationship

Phone Number

If other, please specify:

I understand that I am offering my services to Rafter Cross Cowboy Church without compensation. This registration is subject to a Florida Department of Law Enforcement check. I agree to abide by the policies and procedures of Rafter Cross Cowboy Church. I understand the church has the right not to place me or to discontinue the use of my services as a volunteer. Please note that some of the information on this form may be subject to Florida's Public Records Act pursuant to Chapter 119F. In addition, I also acknowledge that a criminal background check will be performed.

Electronic Signature

Volunteer/mentor application