Super Place Camp Volunteer Registration Form

 
Ministering to Children with Special Needs

Sponsored by Chapelwood United Methodist Church, Grace Presbyterian Church, Memorial Drive United Methodist Church, Memorial Drive Presbyterian Church, St. John's Episcopal Church, First United Methodist Westchase, and Tallowood Baptist Church

First Name
Last Name
Age (if youth)
Address
City
Zip Code
Home Phone Number
Work Phone Number
Cell Phone Number
E-mail address
Church Membership
Please checks the days you are available to help at Camp
 Monday  Tuesday  Wednesday  Thursday  Friday
Please select t-shirt size
Youth Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large
Photo Permission
  Yes, I grant permission for the taking of photos during the events at Super Place Camp and understand that these photos or other electronic images may be occasionally used for publicity and educational purposes.