Volunteer Registration Page

Thank you for your interest in volunteering with City on a Hill!
Who are you wanting to register as a volunteer?*

Myself - I am an adult over 18 yrsA minor child - under 18 yrsA group/team
*There will be an option given at the end to add additional volunteers.

Individual Volunteer Registration Form

(Required for each volunteer over age 18)
Have you volunteered at City on a Hill before?*

YesNo
Group/Church Name:
I am a: (for ministry leaders only)
Are you active in a church?

YesNo
Church Name:
City located in:
Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Alternate Phone Number
Gender:*

MaleFemale
Email*
What are you signing up for?*
When would you like to serve?

MonthDayYear
Date
Corporate funders often ask whether any of their employees volunteer for our organization. If we do have some of their employees serve as volunteers they look more favorably on our request for support.
Place of Employment:
Job Title / Occupation:
I heard about City on a Hill through:
Participant's Signature

Clear
Date

MonthDayYear
In case of emergency, please call: First Name* Last Name* at Phone Number*
Please list below any health conditions or limitations that could affect your participation, and any medications, foods or substances to which you are allergic:

Parental Permission Form

Required for all minor volunteers under the age of 18
Child's Full Name*

First NameLast Name
Date of Birth *

MonthDayYear
Date
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*

MaleFemale
As a parent or legal guardian of (child’s full name) Parent/Guardian First Name* Parent/Guardian Last Name*
I give permission for him/her to participate in any activity of City on a Hill, except for those that I have designated in writing on this form below. I give permission for my child to ride in a vehicle of a staff member or volunteer of City on a Hill and participate in field trips for which I receive written notification. I acknowledge by my signature below my child/children’s voluntary participation in the activities of City on a Hill and give permission for their photograph/video image to be included in promotional materials used by the organization. I understand that City on a Hill’s goal is to improve the lives of children and families in central city neighborhoods by providing holistic services based on Christian principles and values. I support their purpose and agree that my child/children are expected to honor the authority of the staff and those in leadership during their participation in program services and activities.

Medical
In case of an emergency, I give City on a Hill representative’s permission to render first aid and/or seek treatment for my child/children in a medical care facility; I give the medical care provider permission to administer the necessary treatment and I accept full financial responsibility for any services rendered.

Hold Harmless
I hereby acknowledge the ordinary risks incidental to the nature of the programs and activities in which my child/children participate, including risks that are unforeseeable. I agree by my signature below that I will hold harmless and indemnify City on a Hill, its directors, employees, agents and/or associates from any and all liability. I will be responsible for any damage or loss to physical property or expenses incurred due to negligent or irresponsible behavior on the part of my child/children.

Donated Goods Policy
City on a Hill’s policies prohibit giving donated merchandise to volunteers or staff in exchange for labor or services rendered. Volunteers are not permitted to remove any materials or equipment from the premises of City on a Hill for personal use.
In case of emergency, please call:   Emergency First Name   Emergency Last Name   at   Area Code   Phone Number.
List any physical, mental, or emotional problems of your child:   Type here .
List any medications, foods, or substances which your child is allergic:   Type here.
List any activities that your child MAY NOT participate in with City on a Hill or its representatives:   Type a here*.
Parent's/Guardian's Signature*

Clear
Parent/Guardian Name:*
Parent/Guardian email address:*
example@example.com
Parent/Guardian phone number:
Please enter a valid phone number.
Today's Date*

MonthDayYear
Date

Thank you for your interest in volunteering with City on a Hill!

Individual Volunteer Registration Form

Parental Permission Form

Service Group Agreement Form