Triumph Kids Volunteer Application

Address

Phone number

Gender

Primary campus

Allergies/Medical Restrictions:

Emergency Contact

Please let us know someone's name and phone number to contact in case of an emergency.

In case of emergency, which hospital do you prefer? *

We will default to taking you to the nearest emergency room unless otherwise indicated.

I hereby understand that Triumph Lutheran Brethren Church does not provide any form of health or accident insurance should any injury or serious illness occur. *

I also agree that I will not obligate Triumph Lutheran Church or staff, paid or volunteer, to pay any medical expenses related to such an injury or serious illness. It is understood he/she will obey all regulations and follow instructions. This releases Triumph Lutheran Brethren Church and staff, paid or volunteer, from any liability.

I understand that I may be photographed while participating in Triumph Kids programs. I give my permission for this photo to be utilized to promote Triumph Kids. *

How long have you attended Triumph? *

Why do you want to be a part of the Triumph Kids Ministry team? *

For what program(s) are you volunteering? *

Kingdom Kids (Sunday)

Wednesday Night Programming

Children's Church (Sunday)

Nursery (Sunday)

Nursery (Wednesday)

Other

Do you have a specific class/grade or student that you'd like to teach?

Have you been convicted of, plead guilty to, or have charges pending against you involving an actual or attempted molestation of a minor? *

Have you been convicted of, plead guilty to, or have charges pending against you involving any other crime(s)? *

If you answered yes to either of the above questions, please explain:

I acknowledge and accept that it is Triumph's policy to run a background check on every volunteer interacting with minors. *

Personal Reference 1 Name: *

Personal Reference 1 Phone: *

Personal Reference 1 Email: *

Relationship to Reference 1: *

Personal Reference 2 Name: *

Personal Reference 2 Phone: *

Personal Reference 2 Email: *

Relationship to Personal Reference 2: *

Please write a brief statement of your faith *

I acknowledge that typing my name here represents my legal signature and indicates that the registration information I have provided is complete and accurate to the best of my knowledge. *