CBM Volunteer Work Week Registration November 2025

CBM Volunteer Work Week Registration

Work Week Dates: November 2-7th, 2025
Home Church*
Home Church City*
Home Church State*
Adult 1*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthday

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Adult 2*

First NameLast Name
Email
example@example.com
Birthday

MonthDayYear
Date
Will you bring children? If so, How many?
Please note: Childcare is not provided.

Children may work on projects with their parents; must be supervised by parents or guardians at all times.
Child 1

First NameLast Name
Age
Birthday

MonthDayYear
Date
Child 2

First NameLast Name
Age
Birthday

MonthDayYear
Date
Child 3

First NameLast Name
Age
Birthday

MonthDayYear
Date
Child 4

First NameLast Name
Age
Birthday

MonthDayYear
Date
Child 5

First NameLast Name
Age
Birthday

MonthDayYear
Date
Preferred Form of Contact*
Adult 1 Special Skills/Desired Project*
What ways would you/family members like to volunteer (e.g., construction, electric, landscaping, cooking, cleaning, painting, etc.)
Adult 2 Special Skills/Desired Project*
What ways would you/family members like to volunteer (e.g., construction, electric, landscaping, cooking, cleaning, painting, etc.)
Areas of Interest

CBM Headquarters in Townsend, TNCamp Gilead in Polk City, FLPonderosa Student Ministries in Mentone, ALCamp Victory in Samson, ALCamp Ta-Pa-Win-Go in Watauga, TNCamp Grace in Fairmont, NCNew Life Camp in Raleigh, NCCamp Red Arrow in Stevensburg, VACornerstone Ministry Center in Carmichaels, PACamp Ozone, TN
Adult 1, Any physical limitations/restrictions?*

yesno
Adult 2, Any physical limitations/restrictions?*

yesno
If yes, please explain. Give the name(s) of the person(s) with the restriction(s). Accommodations needed? (no stairs, etc.)
I can provide proof of medical insurance or equivalent*

yesno
Anyone on this form- Dietary restrictions or allergies?*

YesNo
If yes, please explain. Give the name(s) of the person(s) with the restriction. Which food item(s) cause issues? What is the severity? (Anaphylactic? Cannot be in the room with the food item? Can be in the room but cannot ingest? Stomach issues if ingested? IF Gluten-free or Dairy-Free, is it choice or allergy? Celiac?)
Notes/Questions
Date of Arrival*

MonthDayYear
Date
Please note that check-in time is any time AFTER 4:00pm EST on the Sunday the Work Week begins. *
Approx. Time of Arrival*

Hour Minutes

AM/PM Option
Date of Departure*

MonthDayYear
Date
Please note that check-out time is any time BEFORE 10:00 am EST on the Friday the Work Week ends. *
Approx. Time of Departure*

Hour Minutes

AM/PM Option
Referred by: (if applicable)
Should be Empty:

CBM Volunteer Work Week Registration

Please note: Childcare is not provided.