Camp Rock 2022 - Volunteer Form

July 25th - 29th, 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, July 10th!

Questions?
Email Brent Baldwin at
kids@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

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

Primary Contact Number

Address

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 2022

Please select one option.

7th 8th 9th 10th 11th 12th

Allergies?

Please select one option.

Yes No

If "Yes," please list all allergies

Do you carry an EpiPen for allergic reactions?

Please select one 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

Emergency Contact Phone Number

Description

July 25th - 29th, 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, July 10th!

Questions?
Email Brent Baldwin at
kids@rockbiblechurch.com.

Camp Rock 2022 - Volunteer Form

Description

Please Fix the Following