Harvey Relief Team Registration
Harvey Relief Team Registration
Name of Sponsoring Church: First Baptist Rosharon, 16211 2nd St., Rosharon, TX 77583
Description of Activity: Disaster Relief Team Volunteer
Indicate the type of volunteer work you are wanting to do (i.e., Clean-Up & Recovery, Cooking for the team, etc.), and the # of hours you can work per day:  * 
Volunteer Full Name (MUST BE AT LEAST 18 YEARS OF AGE), every adult volunteer must complete their own registration form:  * 
Volunteer Phone:  * 
Volunteer Best Email Address:  * 
Names of participants UNDER 18, must be accompanied by parent/legal guardian (indicate N/A if none): * 
*DATE OF ARRIVAL. Indicate the exact date you plan to ARRIVE to volunteer. Planned Team Dates: Sept 20 - 24 Oct 5 - 8 Oct 13 - 15 Oct 15-21 (Fall break) You do not have to stay the entire time. Must provide your own transportation or carpool with others, regardless of whether you volunteer during a Planned Team Date or go on your own schedule. Check back for future dates.  * 
*DATE OF DEPARTURE. Indicate the exact date you plan to DEPART:  * 
Name of Emergency Contact:  * 
Emergency Contact Phone:  * 
List of Volunteer's allergies or medical conditions (indicate N/A if none):  * 
Is FBC Forney or Sponsoring Church authorized to approve medical treatment?  * 
Is volunteer covered by personal/family medical insurance?  * 
If yes, name of health insurance company:  * 
Policy or group number:  * 
By my E-Signature below, I acknowledge that volunteering in the Activity described above involves risk and may result in injury including, but not limited to: sickness, bodily injury, death, emotional injury, personal injury, property damage and financial damage. In consideration for the opportunity to volunteer in the Activity, I acknowledge and accept the risks of injury associated with volunteering and transportation to and from the Activity. I accept personal financial responsibility for any injury or other loss sustained during the Activity or during transportation to and from the Activity, as well as for any medical treatment rendered, that is authorized by FBC Forney and the Sponsoring Church or their agents, employees, volunteers, and any other representatives.
E-Signature (by typing my name here, I acknowledge that I have read and understand everything in this form and have willingly affixed my E-Signature, that I have completed the form myself and that all information provided by me is true and complete):  * 
Items to Bring: money for meals (approx. $15/day per person), air mattress, bedding, towel, pillow, tolietries, work clothes, coveralls, hardhat, facemask (Rated N-95 for dust or mold), old shoes/boots/mud boots, work gloves, sun protection, bug protection, any other personal items.
During Planned Team Dates, we will collect money and prepare some team meals together (breakfast, sack lunches, dinner). We will need a few people to help prepare meals for the team.
Look for a supply and needs list coming soon!
Email Shelley Richardson at srichardson@fbcforney.org if you have any questions regarding the registration process. Thank you!
Your Email Address  * 
Please type in the box to the right »  * 
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