Shalom Farms Service Day Registration - July 7th

    For LUMC Youth, Parents & Adult Volunteers
    • STUDENT PARTICIPANT INFO
    • First Name
      Last Name
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    • PARENT INFO
    • First Name
      Last Name
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    • ADULT VOLUNTEERS - This trip cannot happen without our awesome adult volunteers. The number of students we can take is limited by the number of adult volunteers/drivers. Please consider joining us!
    • DRIVER INFORMATION
    • EMERGENCY CONTACT INFORMATION
    • First Name
      Last Name
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    • PARENT AGREEMENT
    • By submitting this form I agree that my son/daughter has permission to participate with LUMC Youth in the Shalom Farms Service Day on July 7th, 2022. If I have not already done so, I will complete a 2021-2022 "Parental Consent, Medical Emergency & Liability Release Form" and the other required forms for my child which can be found on the Youth Website (www.lumcvb.org).