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SERVE DOMESTICALLY

Disaster Relief Team Sign up Form
All volunteers must be 14 or older. 14-15 year olds must be accompanied by a parent or legal guardian, and 16-17 year olds must have an adult chaperone.

Questions? email missions@prairielakeschurch.org

Once you sign up, you will be placed on a disaster relief contact list and be notified when we are ready to deploy a team. Teams serve in Iowa and around the U.S. when natural disasters strike.
Name*

First NameLast Name
Cell Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*
Please fill out the adult waiver
Please fill out the youth waiver
Emergency Contact Info
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Additional Information
Please list any skills you have related to disaster relief.
Experience with chainsaw, construction, etc.
Comments
Would you like us to notify you of future disaster relief opportunities?*
Please notify me of future disaster relief opportunities
Should be Empty:

SERVE DOMESTICALLY