Oldham County Task Force Volunteer Participant Form

Oldham County Task Force Volunteer Participant Form

Role Player Interest Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Age Range (If you are under 18, we will need consent from your parent or guardian)*

Below 14Age 14 to Age 18Over Age 18
August Scenaro: August 18, 2025 6pm to 10pm

A Active Shooter is present and many casualties have occured inside a Church in Oldham County. With an unknown shooter crews will perform Rescue Task Force Techniques alongside Police to safely tend to victims.

What is needed from you (the role player):

Wear clothes you don't mind getting scuffed or dirty. Prepare for loud noises including shouting and gunfire. Prepare for traumatic incidents, and also to be lifted and/or carried. Caution is advised to anyone whom may be easily affected by PTSD Scenarios.
Are you available to participate in a Hands-On Simulation August 18, 2025? (6pm-9pm)*

YesNoNo, but would love to participate in others.
Do you have any previous injuries that may inhibit your participation during an exercise? (i.e. Heart Issues, Back Injury, etc.*

YesNo
If Yes, Please list any injury that may be relevant, We will always find a way for you to participate! We appreciate your support!
Emergency Contact or Parent/Guardian*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
If you have selected Yes, that you can participate, we will be in contact with you shortly to let you know any additional details for the event. Thank you so much!

All Information provided in this form will be kept confidential and only used if there is an emergency or to contact you.
Oldham County Task Force would like to thank you for your support of our organization. Without you, allowing us to have role-players to conduct hands-on simulations and training our skills would not be able to be tested and improved. you are an absolutely vital piece to the protection and response capabilities of Oldham County.
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