Camp Rock 2024 - Volunteer Form
June 24th - 28th , 9am-Noon | Rock Bible Church
4100 First St
Pleasanton, CA 94566
Please complete a form for each volunteer.
To be guaranteed a t-shirt,
volunteers must be registered by Sunday, June 16th!
Questions?
Email Megan Ash at
megan@rockbiblechurch.com.
Volunteer Name
*
T-Shirt Size (one shirt included)
*
Please select one option.
Child XS (2/4)
Child S (6/8)
Child M (10/12)
Child L (14/16)
Child XL (18/20)
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Select Option
Child XS (2/4)
Child S (6/8)
Child M (10/12)
Child L (14/16)
Child XL (18/20)
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Additional T-Shirt - Check or Cash
Please select one option.
Child XS (2/4)
Child S (6/8)
Child M (10/12)
Child L (14/16)
Child XL (18/20)
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Select Option
Child XS (2/4)
Child S (6/8)
Child M (10/12)
Child L (14/16)
Child XL (18/20)
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Primary Contact Number
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
I would prefer to help in the following areas:
Please select all that apply.
Crew Leader
Decorating
Assistant Crew Leader
Rec
Craft
Morning Check-In
Afternoon Check-Out
Friday Tear Down
Snack
Preschool
I am available on the following days:
Please select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
IF UNDER 18, complete the following:
Age
Grade Level for Fall 2024
Please select one option.
7th
8th
9th
10th
11th
12th
Select Option
7th
8th
9th
10th
11th
12th
Allergies?
Please select one option.
Yes
No
Select Option
Yes
No
If "Yes," please list all allergies
Do you carry an EpiPen for allergic reactions?
Please select one option.
Yes
No
Select Option
Yes
No
Medical Provider
Medical ID #
Guardian's First Name
Guardian's Last Name
Guardian's Relationship to you
Please select one option.
Parent
Grandparent
Relative - other
Close Family Friend
Select Option
Parent
Grandparent
Relative - other
Close Family Friend
Emergency Contact Phone Number
Submit
Description
June 24th - 28th , 9am-Noon
Rock Bible Church
4100 First St
Pleasanton, CA 94566
Please complete a form for each volunteer.
To be guaranteed a t-shirt,
volunteers must be registered by Sunday, June 16th!
Questions?
Email Megan Ash at
megan@rockbiblechurch.com.
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