Online Volunteer Forms

Volunteer Information

Please take time to thoughtfully complete the form below, making sure that all of the information is correct. These forms are brand new, so if you run into any problems or bugs please let us know by sending an email to NazarethFarm@gmail.org

Date of your trip to Nazareth Farm: (Note: Family Week registrations have not yet opened up, so the form will not work for those weeks)

Name of your parish or school:

I am a... Volunteer Chaperone I am a... Female Male

First Name:

Last Name:

Nickname (Optional):

Name of Parents/Gaurdians (high school students only)

Address:

Address 2:

City:

State:

ZIP (5 digit):

Email Address:

Would you like a newsletter? Yes No

Home Phone Number:
( ) -

Cell Phone Number:
( ) -

Date of Birth:

Have you been to Nazareth Farm before? Yes No

Class (if applicable):

Home Parish:

Home Diocese:

Volunteer Contract

Completion of this contract is required to serve at Nazareth Farm, please read the following information carefully and clicking "I accept" below.

1. I am fully aware that the volunteer experience at Nazareth Farm will require me to make personal sacrifices of which I may not be accustomed. I agree to live this week in simplicity, doing without some of the conveniences to which I am accustomed. I will work and complete tasks to the best of my ability.

2. I realize that living and working together in community will require me to display patience and respect toward all members of the group. I realize the importance of following a schedule and the guidance and instruction of the leaders. I am willing to comply with the requests of the leadership and be flexible with what is asked of me.

3. I am aware that the week will involve a focus on prayer based on the Catholic tradition. I am open to this experience and will actively participate to the degree which I am able.

4. I further realize that I will be visiting an area where the culture and the customs may differ from my own. I will treat all people at the Farm and in the surrounding community with respect.

5. I agree not to involve myself in drugs, alcohol, or sex while at Nazareth Farm.

6. I give consent for Nazareth Farm to videotape and photograph me during my volunteer week. I understand these photographs and videotapes may be used for advertising and/or orientation materials for Nazareth Farm including the NF website. I give my permission for possible participation in videotaping and/or still photographs.

7. During my group week, I give consent for Nazareth Farm to post my address, in order to confirm and/or correct my mailing address and email contact information.

8. I dedicate myself to be an active participant in this week of service, prayer, simplicity, and community as an experience of Christian living.

By typing my name into the box below, I agree to the above terms. Also, if I am under 18, I certify that I have read over the volunteer contract with my parent(s) or gaurdian(s).

Full Name:		Today's Date: Thursday February 23, 2012

Health and Emergency Information
Emergency Contact Person (Full Name):		Relationship:

Day Phone: ( ) -		Evening Phone: ( ) -

Known Allergies:		Dietary Restrictions (vegetarian, food allergies, etc):

Current Medications:		Will you need assistance with your medication? Yes No

Blood Type:	Date of most recent Tetanus Booster:

Date of most recent physical exam (must be within 12 months)	Limitations to Physical Labor: (You will not be made to perform any task you are unable to do for whatever reason.)

Emotional/Psychological Conditions and/or concerns:
Final Step!
Your registration is not complete until you print, sign & return these documents. For Under 18 Year Olds: Health Insurance / Parental Agreement (Parent's signature needed) Hold-Harmless Agreement (Parent's signature needed) For 18+ Volunteers: Health Insurance Form Hold-Harmless Agreement Background Check Form (For 18+ volunteers/chaperones on High School weeks only!)

Volunteer Information

Volunteer Contract

Health and Emergency Information

Final Step!