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Consent Form
Full Name (and Nickname if applicable)
*
Date of Birth
*
Dates I can volunteer:
*
July 4
July 5
July 6
July 7
July 8
Shift schedules to follow.
T Shirt Size
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XL
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Gender Identity/Pronouns
Address
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Address Line 1
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Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
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Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
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Participant Phone
*
Participant Email
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Name of Diocese and Home Parish
*
Date of Safeguarding Certification
*
Emergency Contact Name
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First Name
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Last Name
*
Emergency Contact Mobile
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Emergency Contact Email
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Medical Information
Medical Needs (allergies, physical, dietary)
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I have received the COVID-19 Vaccine and will send a copy of my vaccination card.
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