KNOWN 2024 - Adult Leader Registration

MEDICAL & SAFETY DETAILS
Emergency Contact*

First NameLast Name
Emergency Contact Cell Number:*
Please enter a valid phone number.
ALLERGIES: Do you have any medication and/or food allergies?*

YesNo
Please list any medication and/or food allergies and any action required if non-emergency.*
DIET: Do you have any dietary restrictions?*

YesNo
Please list dietary restrictions.*
SAFE SANCTUARY:

Please make sure to familiarize yourself with Trinity's updated Safe Sanctuary policy, linked below.
BACKGROUND CHECK:

All adult leaders are required to have a current background check on file. Betsy McLean, on Element's staff, will contact you directly if you are in need of an updated or new background check form.
SAVE THE DATE! There will be a MS Discovery training meeting on Sunday, February 25, 6-8PM in the Element Haven to go over the schedule. Please put this date on your calendar - we'd love to have all who are in town in attendance! :)
To prevent multiple submissions, please only hit the submit button once. If you run into an error, please contact Robert at rsturdivant@trinitybirmingham.com before you try again. Thanks!
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KNOWN 2024 - ADULT LEADER REGISTRATION