Adult Volunteer General Release Form Fall 2025

In addition to filling out this form, please also make sure you have all your clearances. PA requires three clearances. Information can be found on our website at www.saintpauls-ucc.org/clearances.
It will take only about half an hour of your time. Pastor Grace will assist you if you have any questions. Thank you!
Adult Volunteer Information

 
 
 
 
 
 
 
 
Emergency Contact

 
 
 
 
 
 
Liability Release

In consideration of St. Paul’s United Church of Christ allowing the adult volunteer (Participant) to participate in children/youth ministry (Sunday worship, Sunday school, Confirmation Class, Kids Night Out, Youth Group, Joyful Noise choir, Messy Church, Activities, Events, Retreats, Lock-Ins, Trips, etc.) and Nursery/Childcare, I, the undersigned, do hereby release, forever discharge and agree to hold harmless St. Paul’s United Church of Christ, its pastors, directors, employees, volunteers, and teachers (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the Participant while involved in the children/youth activities and childcare. The undersigned further hereby agrees to hold harmless and indemnify said Church for any liability sustained by said Church as the result of the negligent, willful, or intentional acts of said Participant, including expenses incurred attendant thereto.

Adult Volunteer's Statement: By typing my name on the line below, representing my signature, I agree to the liability release printed above.
 
Covenant of Community Expectations

The following rules and guidelines are equally binding on adult leaders/chaperones and youth.


NON-NEGOTIABLE RULES
·  Any participant failing to abide by these rules will be sent home immediately at personal/family expense
·  No use of illicit drugs or alcohol
·  Presence at and full participation in all group activities, including adherence to curfews and other time-related instructions
·  No sexual misconduct (defined as exposure, touching, or inappropriate reference to body areas normally covered by undergarments)
·  Must be in assigned rooms by designated time
·  Coed visitation only in assigned community room
·  Smoking and the use of tobacco products are not allowed to, from, or during any trip
·  Will not break any American laws in the United States or any other country
GUIDELINES FOR LIVING IN CHRISTIAN COMMUNITY
·  Adults and youth will be equally responsible for performing assigned tasks in a timely and cooperative manner
·  Participants will be respectful, encouraging, and will maintain a positive attitude toward others at all times, recognizing Christ’s presence in each other
·  Participants will be respectful of both common living spaces and the property of others
·  Participants will avoid the use of foul language, cursing, or any speech (including “humor”) which puts down, makes fun of, or stereotypes other persons or groups
·  Sleeping areas for males and females will be separate.

Adult Volunteer's Statement: By typing my name on the line below, representing my signature, I agree to support the Covenant of Community Expectations printed above.
 
Photo Release for Adults

Please select one option.
 

Description

In addition to filling out this form, please also make sure you have all your clearances. PA requires three clearances. Information can be found on our website at www.saintpauls-ucc.org/clearances.
It will take only about half an hour of your time. Pastor Grace will assist you if you have any questions. Thank you!