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General Assembly

Disciples Volunteering

Registration Form
Local Mission Work
Pre-Assembly

Jesus calls us

Portland, Ore.
Thursday July 21 to Saturday July 23

If your family is working, please complete a form for each member of the family. Fill out and return online or in the mail by June 15 to reserve your spot. We are limiting numbers this year. Please sign up as soon as possible.


name

age

   

gender

 male   female

address
city

state

  

zip code

phone (office)

phone (home)

fax

e-mail

congregation

region

Health concerns we need to know about

List concerns plus
date of last tetanus shot:

Vegetarian?

 yes   no

I plan to participate in this way

Arrive Wednesday and work Thursday, Friday and Saturday.

Arrive Thursday and work Thursday night, Friday and Saturday.

Arrive on Friday or Friday night and work Friday and/or Saturday.

Our group will be arriving earlier on Thursday and would be willing to do some work Thursday afternoon.
Other

Note: The cost of the trip will be adjusted depending on when you arrive.

My transportation needs

I will be flying and will need a ride from the airport and to and from the worksites. (Very limited transportation will be available for individuals. Cannot be provided for groups.)

I will be driving and can use my vehicle to go to and from work. I can take   additional persons in my car.

My housing needs

I will be staying at my Assembly hotel (you make the arrangements).

I want to sleep on the floor of a church for free (Thursday through Friday nights only).

I want to stay at the Pre-Assembly hotel ($67 per room) with two to four persons per room).
Contact Brenda, (888) 346-2631 or Jayna, (410) 788-6309 before checking this button.

My skills are

Gardening (Be part of Return to the Garden!)
Go-pher!
Ready to learn!
Crew boss
Am willing to go with Group of HIV/Aids patients to the beach
Other:

We need SKILLED AND WILLING CREW BOSSES (meaning you would be given a construction or landscaping or painting job and a crew to help you get it done...or, if unskilled, you'd be given an unskilled task and a crew to oversee)

If you have the skills, PLEASE consider helping out in this way. All materials will be provided. Please consider checking Crew Boss so we won't have to turn anyone away!

Are you willing to be a crew boss? yes   no

I'd prefer to be a crew boss for:
Working in a community garden
Working in a food bank or emergency center
Purging and organizing for a yard sale
Taking a group of HIV/AIDS patients to the beach