Registration

Respite Night Volunteer Registration

If interested in volunteering for the Jan. 31, 2020 Respite Night, please complete and submit this form.

IMPORTANT:

- All volunteers, 19 years or older, need to submit a Background Check form. This form is valid for two years. If you did not complete/submit Background Check form as part of this registration process, then go to firstfreelincoln.org/background-check to complete/submit it online. If you are a returning volunteer, your Background Check form is valid if it was completed on/before Jan. 31, 2019.
- You will receive and e-mail during the week prior to Respite Night at which you will be volunteering that will provide details you will need for service that night. If you do not receive this e-mail, please contact Danelle Mills to get your volunteering details.
- All volunteers need to be at church at 5:30pm on evening of the event. Pizza will be provided for volunteers.
- Need to cancel? If you find that you are unable to volunteer after you have signed up, we totally understand. However, we ask that you contact us 48 hours prior to event if you need to cancel. This would be most helpful as it will allow us ample time to find a replacement for you. Contact Danelle Mills to cancel.
- If interested in volunteering for the Oct. 4, 2019 Respite Night, please complete and submit this form. This Background Check form needs to be current for each Respite Night at which you plan to volunteer.

Provide Contact Information:

First name*

Last name*

Check this box if you are under the age of 19*. (Note: All volunteers 19 and older must complete a Background Check form as part of registration process. Submitted Background Check forms are valid for two years.)
I am under 19 years of age

Best phone number to reach you*

Best e-mail address to reach you*

Choose Volunteer Job(s):

Please pick the volunteer job(s) you would like to do. You may choose up to 3 options.

Volunteer jobs/ not working with children:

Set UpVolunteer Check-in TableRegistration Check-in TableAssist with serving dinner mealGreeter

Volunteer jobs/ working with children:

NurseryRoom HostObstacle Course HelperCarnival Game HostFloater (help where needed)Siblings Group LeaderBuddy (one-on-one with child who has special needs)

Please provide this additional info to help us choose your child with special needs:

Physical limitations you have that may limit your ability to care for a child with special needs

Special skills or training you have that would aid in your care for a child with special needs

Other jobs:

PhotographyMascot/Wear Theme CostumeBathroom MonitorMedicalSecurityI am ok with working anywhere needed

Childcare Option:

While you are volunteering at Respite Night, free childcare is available for your child(ren) through age 12. Under age 3 will be in the Nursery. Over age 3 will be with the siblings groups. To register your child(ren) for this childcare, please complete information below.

PROVIDE INFO FOR CHILDREN ATTENDING:

We provide a pizza dinner for the children along with Goldfish crackers, lemonade and water. Please indicate with each of your children attending whether or not they will be eating the dinner we provide. You are welcome to send dinner with your child(ren).

Child #1:

First name

Last name

Age

Gender
MaleFemale

Will this child be eating the dinner provided at Respite Night?
YesNo

Child #2:

First name

Last name

Age

Gender
MaleFemale

Will this child be eating the dinner provided at Respite Night?
YesNo

Child #3:

First name

Last name

Age

Gender
MaleFemale

Will this child be eating the dinner provided at Respite Night?
YesNo

Child #4:

First name

Last name

Age

Gender
MaleFemale

Will this child be eating the dinner provided at Respite Night?
YesNo

Child #5:

First name

Last name

Age

Gender
MaleFemale

Will this child be eating the dinner provided at Respite Night?
YesNo

Complete Background Check Form:

- All volunteers, 19 years or older, need to submit a Background Check form. This form is valid for two years. If you did not complete/submit Background Check form as part of this registration process, then go to firstfreelincoln.org/background-check to complete/submit it online. If you are a returning volunteer, your Background Check form is valid it it was completed on/before Jan. 31, 2018.