West Virginia Relief 2016

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Volunteering for the 2016 West Virginia Flood, KIUMC- Individual Registration

* Indicates required field

Name: *

First

Last

Contact Person in Case of Emergency: *

Phone Number *

When was your last Tetanus shot? *

Address: *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email: *

Church: *

Conference: *

Date(s) Individual can volunteer *

Age and date of birth if under 18 years old: *

ERT Training: *

Yes No

Safe Sanctuaries Training? *

Yes No

Are you willing to travel to projects that may not be near your housing site? *

Yes No

Do you have VIM Leadership Training? *

Yes No

Can you bring tools? *

Yes No

What type of tools will you be bringing? *

Skills of Individual: *

Those doing muck out will need to make sure they have the proper attire to do the job, masks, gloves, boots. There will be mold, mud; both dried and wet.

Submit

Announcements/Bulletins

Prayer

2739 Cox Neck Road/P.O. Box 308, Chester, MD 21619
Phone: 410-643-5361 Email: info@kiumc.org

Welcome
Worship
Connect
KIDS & YOUTH
The Commission
Contact
- Church Forms
Give