City Kids Volunteer Form

Enter the information requested.

First Name			Age Range:
Last Name			12-21 22-40 41-60 60+
Address
Address2
City
Zip		Home Phone
Church			Alt Phone
Email

Select Your Area of Interest
Balloon Sculpture	Clowning	Book Donation
Game Booth	Food Booth	Sharing the Gospel
Kids Music	Food Service	Security
Backpack Table	Haircuts	First Aid

Availability                    Check all that apply
Morning	Afternoon	All Day
Are you bringing a group from your church to participate?		Yes      No
Questions or Comments?  Use the space below:

If you have technical problems with the form,
please send an e-mail to dedes@srmission.org.