Jenison Serve

buy provigil online with mastercard Jenison Serve is a day to serve those in need in the city of Jenison.  Service projects may include yard work, repairs, light construction, and acts of kindness. Consider this your one-day mission trip right in your own community!

  • Your T-shirt is our gift to you
  • We will be taking a Free Will Offering for the Pancake Breakfast
  • Parent/Guardian participation is required for youth 5th grade and younger

 

Schedule:

8:30 am – 9:00 am      Pancake Breakfast

9:00 am – 12:00 pm    Serve in the Local Community

 

Please fill out the  http://ghostprof.org/teaching/past-courses/poesiatheoria-201701/poesiatheoria-201701-description/ Form Below:

Name:
Family Members:
Age of Participants:
E-mail:
T-Shirt Size(s):
I'd like to be a Crew Leader:
I can bring the following tools:
I can drive a team to where we serve:
If yes, my vehicle holds this many people (not counting driver):

RELEASE OF LIABILITY AND RELEASE TO OBTAIN MEDICAL CARE

This form must be turned in before the day of the event

NOTE:  Volunteers are not required to engage in any work in which the feel they are not able

to safely participate.


I hereby voluntarily release, acquit and forever discharge Holy Cross Lutheran Church, their Directors, Officers, Employees and Leaders from any and all legal liability which may arise from participation in this event.  I understand that signing this document constitutes a full and complete waiver of all possible claims, including claims for negligence in personal injury or property damage.


Holy Cross Lutheran Church has my permission to use participant’s photographs for non-commercial purposes.


I further hereby authorize the leadership of Holy Cross Lutheran Church to make essential decisions on my behalf with respect to medical treatment, emergency surgery or hospitalization without limitation should I be unable to express my desires. 

Name of participant:
Date of Birth:
Name/Relationship (Self/Parent/Guardian of minor Participants):
Date:
Phone:
-
Address:


If under 18 and participating without a parent or legal guardian, please contact the Holy Cross Office for a Youth Medical Form.

 

Comments(2)

  1. Jim Kloosterman says

    I have to be at work at noon so I will have to leave around 11:30 AM

    • Johanna Dexter says

      Thanks for letting us know Jim!

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