Select Your Age Group *
ADULTS: After completing this form, you will receive an email from Checkr.com, our third-party, background-check partner, in order to complete a secure background check.
Select… Adult: Currently 18 Years or Older Student: Currently 17 Years or Younger
Primary Campus *
Select… Dutchess Middletown New Milford Newburgh Online Port Jervis Warwick Washingtonville
Gender *
Select… Male Female
Phone Number *
Phone type Mobile Home Work Other
Do you consent to receive texts from Echo Grace Church? *
Approximately one text per month.
Select… Yes No
Select T-Shirt Size *
Select… Youth Small Youth Medium Youth Large Small Medium Large X Large 2X Large 3X Large
Preferred Service Time(s)
Not all service times are available at all campuses or ministries. This is a preference and not a guarantee of accommodation.
Excluding traffic related offenses, have you ever been accused or convicted of criminal activity, or entered a plea of guilty or no contest to a criminal offense of any kind? *
Select… NO YES
Have you ever been accused or convicted of sexual misconduct, or entered a plea of guilty or no contest to abuse or sexual misconduct? *
Select… NO YES
Are you aware of any traits or tendencies that you possess that could pose a threat to children or youth? *
Select… NO YES
I recognize that Echo Grace Church is relying on the accuracy of the information I provide on this application. I attest and affirm that the information I have provided is absolutely true and correct. *
Please Initial
I acknowledge that I am volunteering my time and efforts in service for Christ through the ministries of Echo Grace Church, and that I will receive no monetary compensation or insurance benefits for my time or services performed. *
Please Initial
I acknowledge and accept the risk of physical injury that could occur from my participation as a volunteer. *
Except for gross negligence on the part of Echo Grace Church, I accept personal financial responsibility for any bodily or personal injury sustained while I am volunteering. Further, I release and agree to indemnify and hold harmless Echo Grace Church, and its officers, directors, and representatives from any liability, injury, damage, loss, accidents, delay, or irregularity related to being a volunteer for Echo Grace Church.
I grant to Echo Grace Church the right to make photo, video, and audio recordings of me. *
("Recordings") as well as the perpetual, world-wide right to record, re-record, copy, edit, reproduce, publicly display, perform, and distribute the Recordings in any way consistent with Echo Grace Church's ministry, including use on the Internet. I waive the right to inspect or approve the finished product wherein the Recordings appear.
Please note the following release does not apply to any personal, professional, or other project/work that is unrelated to Echo Grace Church. *
Any work that I have created in my role/capacity as a volunteer for Echo Grace Church in the past, present, or future, recorded in any form ("Creative Work") is for the exclusive ownership of Echo Grace Church and is considered a "work made for hire" (defined in the US Copyright Act). If, for any reason, the work related to my volunteer service for Echo Grace Church is determined at any time not to be a "work made for hire," I agree to assign, and do assign, to Echo Grace Church all rights, title, and interest to the Creative Work.
Echo Grace Church wishes to maintain in confidence all information including data, commercial, and strategies, and know-how disclosed by Echo Grace Church to me, directly or indirectly, in written, oral, or other tangible forms. *
In this regard, I agree that I will not disclose the confidential information and/or trade secrets with others without prior written consent of Echo Grace Church both during or after my volunteer service.
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