AZ Sonshine (Wilcox) 2025 Volunteer

AZ Sonshine Wilcox 2025 Volunteer

Thank you for registering to VOLUNTEER, only one(1) volunteer per form. (With Release and Waiver of Liability)
Map
Where:

Wilcox Community Center

312 W Stewart St, Wilcox, AZ

When:

Thursday, Sept. 4 at 7AM-4PM

Friday, Sept. 5 at 7AM-6PM

Contact:

arizonasonshineprescott@gmail.com
Contact Information

If you have registered for a previous event, enter your Last Name followed by the first initial of your First Name, in the Auto Fill box, then click "Complete Form" (example: Randy Fields=fieldsr)
Name*

First NameLast Name
Street Address*
City*
State*
Zip Code*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Which days would you be able to volunteer?*

Monday, Sept. 1 : Loading day (loading equipment at Camp Yavapines for event)Wednesday, Sept 3 : Event setup (8AM-3PM)Thursday, Sept. 4 : Event (7AM-4PM)Friday, Sept. 5 : Event (7AM-4PMFriday, Sept. 5 : Event tear-down (1PM-6PM)Sunday, Sept 7 : Unpacking day (unpacking equipment at Camp Yavapines)
Volunteer Interest

Please indicate below which position you would be interested in. If you have any specific interest or specialty that is not listed select "Other".
In which capacity would you like to volunteer?*

Non-Healthcare VolunteerHealthcare Professional VolunteerService Provider / Outside Vendor
Service Provider / Outside Vendor

As a service provider you agree to provide services to our guest at no charge.
Company Name:*
What service will you be providing?*
Non-Healthcare Volunteer positions*

Artist (Musical Talent/Entertainment)Child Care (Sterling Volunteers/Educator ID/Fingerprints)IT/Computer Intelligence SupportCosmetologyFollow-Up ServicesFood ServiceHospitalityHospitality - Computer Check-in/Check-out DeskInterpreterLegal (w/Valid License)LogisticsMarketingMedical RecordsMedical SuppliesPastor/ChaplainPrayer Warrior (Before/During/After Event)PhotographerPublic Relations (Mostly Before/After Event)RecruitmentRegistration - for Guests (Data Entry)Security ServicesTransportation- To/From Event; for Guests (w/Valid clean License)Other
Are you certified thru Sterling Volunteers, an Educator or ID/Fingerprints?*

YesNo
Healthcare Professionals*

ChiropractorDentistDental HygienistDental Support (no license)Dental X-Ray TechnicianDental Assistant (no license)Diabetes Awareness/Management Counselor (no license)Fitness Counselor (no license)Foot Care Nurse (RN+CFCN)Healthy Living Counselor (no license)Massage TherapistMedical Support (no license)Mental Health ProfessionalNaturopathNeurologistNurse PractitionerOccupational TherapyOphthalmologistsOpticianOptometristPhysical TherapistParamedicPhysician AssistantPodiatristPrimary Care PhysicianRegistered NurseRegistered Nursing Assistant (no license)Visional Support (no license)Wound Care Nurse RN+ specialty (WOCN or WCN)Other
Select an appropriate Degree.
Other Degree Name
Licensing
What is your license number?*
When does your license expire?*
Which state are you licensed in?*
Are you a student in this field?

YesNo
Interpretation

If you speak any other languages fluently, please indicate below if you would be willing to act as an interpreter.
Language:*

American Sign LanguageChinese, MandarinJapaniseSpanishOther
How comfortable/proficient are you, at speaking/translating?*
Insurance

For insurance purposes, are you a member of a Seventh-day Adventist Church?
Are you a member of an SDA Church?*

YesNo
Name of your Church and Conference*
Polo Shirts/Scrub Tops
Polos/Scrubs are available for purchase and colors are determined by Department Color List. Order/pay for your shirt at least a month prior to the event. PayPal is the preferred method of payment, if you would like to pay by Check or Credit Card call 928-636-4352.
Do you need a Polo Shirt or Scrub Top?*

YesNo
My Products*
prevnext( X )
Polo Shirt
$25.00 QuantitySizeColor

Scrub Top
$25.00 QuantitySizeColor

Total

$0.00
How do you plan on paying for the Scrub/Shirt*

Mail CheckOnline (PayPal/Credit Card)
Send Check to:

P.O. Box 1620, Chino Valley, AZ 86323
Pay with PayPal/Credit Card:

Once you click the Register button, you will see the PayPal link on the next screen to make a Payment.
Release and Waiver of Liability
Form Date*

MonthDayYear
Date
Are you over 18?*

YesNo
VOLUNTEER Signature*

Clear
PARENT Signature*

Clear
Should be Empty:

AZ Sonshine Wilcox 2025 Volunteer

Contact Information

Volunteer Interest

Service Provider / Outside Vendor

Licensing

Interpretation

Insurance

Polo Shirts/Scrub Tops

Send Check to:

Pay with PayPal/Credit Card:

Release and Waiver of Liability