Forms & Documents Program Forms Contact Form & Participation Waiver Open Form Contact Sheet & Waiver Student Contact Information If this student has already signed up for a program for Summer 2024 or the 2024-2025 school year, only fill out fields labeled required. Student Name * First Name Last Name Student Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Student Phone Number (###) ### #### Student Email Address School * 2024/2025 Grade * Select Option 6th 7th 8th 9th 10th 11th 12th Birthdate * MM DD YYYY Allergies or Medical Concerns Do You Attend a Church? * Yes No If Yes, Which Church? Parent/Guardian Information Parent/Guardian 1 Name * First Name Last Name Parent/Guardian 1 Relationship to Student * If "Other", What Is Your Relationship To The Student? Parent/Guardian 1 Phone Number * (###) ### #### Parent/Guardian 1 Email Address *Only fill out if different from student's Parent/Guardian 1 Address Please complete if different from student address Address 1 Address 2 City State/Province Zip/Postal Code Country Parent/Guardian 2 Name First Name Last Name Parent/Guardian 2 Relationship to Child If "Other", What Is Your Relationship To The Child? Parent/Guardian 2 Phone Number (###) ### #### Parent/Guardian 2 Email Address Parent/Guardian 2 Address *Only fill out if different from student's or Guardian 1 Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Information Please complete this section if additional contact information beyond parent/guardian information would be helpful. Emergency Contact Name First Name Last Name Emergency Contact Relationship to Child If "Other", What Is Your Relationship To The Child? Emergency Contact Phone Number (###) ### #### Emergency Policies Severe Weather: If a severe weather watch or warning is issued 1 hour prior to a scheduled event, that event will be cancelled. If issued during programming, the event will continue as scheduled, though parents may pick their children up. In the event of a tornado warning, anyone in the building will take shelter in an interior room and may not leave until the warning has expired. Closings: If school or after-school events are cancelled, The Bridge will also be closed. Fire: In the event of a fire, all program participants will be escorted to the lawn on the northwest corner of the building. CPR/First Aid: There are certified CPR and First Aid staff members and an AED in the building in case of a medical emergency. Violent Intruders: In the event of an intruder intending harm, staff will alert all program participants to flee the building out of the nearest & safest exit. Health & Wellness Agreement To the best of my ability I will follow all health & wellness orders and guidelines laid out by local, state, and federal authorities. I will monitor the health of my child regularly and communicate with The Bridge about any symptoms as soon as possible to ensure my child is staying healthy enough to participate in programs. Medical Treatment Permission * In case of an emergency, I provide permission for The Bridge to have my child treated by a physician and/or hospital. Yes No Media Permission * I grant my permission for the rights to use and record my child's image and/or voice on film, photograph, print, and other media to be used on social media, website, and or any other form of print. Yes No Communications Permission * I provide permission for my child to receive texts from The Bridge staff for program purposes. Yes No Transportation Permission * I provide permission for a representative of The Bridge to transport students for program and/or emergency purposes. Yes No Electronic Signature * By typing my name below, I am providing an electronic signature that acknowledges that I have read and understand all of the expectations and permissions listed in this form and have provided all information as completely as I can. This agreement is in place until/unless an updated agreement is signed. First Name Last Name Date * MM DD YYYY Thank you for completing the Contact Form & Waiver. If any additional program specific documents will be required for your child’s participation, we will be in touch with you soon. We look forward to working with your child! Download Form Drop InSign-up Now Download Packet Food for ThoughtSign-up Now Download Packet Skills for LifeSign-up Now Download Packet ExpressionSign-up Now Download Packet Bridge to ExcellenceSign-up Now Download Packet It’s AmazingSign-up Now Download Packet Building Bridges TogetherSign-up Now Download Packet Cranhill Waiver Download Form Lake Arvesta Waiver Download Form Volunteer & Donor Forms Volunteer FormsVolunteer Interest FormFor those interested in volunteering, this is the first step to getting connected. Fill Out Interest Form Volunteer Interest Form Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Birthdate * MM DD YYYY What is your educational background? * High School Student High School Graduate College Student College Graduate N/A If you are currently in school, what school do you attend? Place of Employment: N/A What best describes your desired volunteer role? * Student Volunteer Community Service Volunteer General Volunteer Additional Support Administrative Tasks Other If other, please describe: What days of the week are you available to volunteer? * Monday Tuesday Wednesday Thursday Friday Please list what times you are available on what day(s): * What of the following volunteer activities interest you * Mentoring Social Activities Driving Cooking Cleaning Other If other, what ways would you like to be involved with The Bridge? How would you rate yourself on your ability to... ... build and lead a team? * *1 being the worst, and 5 being the best 5 4 3 2 1 ... stay positive under pressure? * 5 4 3 2 1 ...proactively reach out and help others? * 5 4 3 2 1 ...come up with creative solutions? * 5 4 3 2 1 ...get things done fast? * 5 4 3 2 1 Use this space for anything you want us to know: Thank you for your interest in being apart of The Bridge Youth Center Family! We will get back to you shortly. Download FormVolunteer ApplicationOnce you know you’re able to make the commitment to volunteer fill out this form to complete our application process. Fill out Volunteer Application Volunteer Application Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Birthdate * MM DD YYYY Employment (If Applicable) School (If Applicable) If in School, What Grade Are You In? What previous experience, if any do you have in working with children/youth? Identify the type of work, organization, and dates/time-frames of service. * Please briefly share why you want to work with kids at The Bridge. How does your faith play a role in your life and your desire to serve here? * Have you ever been convicted of or plead guilty to a crime? * Yes No If yes, please provide the date(s) and an explanation Do You Have a Church Affiliation? * Yes No If yes, what church do you attend? As a volunteer, do you agree to the mission of the Bridge Youth Center? Do you agree to the volunteer responsibilities and qualifications? Furthermore do you accept that in order to serve as a volunteer you must provide the Bridge Youth Center with a valid government-issued ID so that background checks can be completed and that you may be approved to serve prior to beginning any volunteer work? Should you be accepted as a volunteer, do you accept that your services may be terminated for failure to perform in a way that enhances the ministry of The Bridge Youth Center? * Yes No Type your name to electronically sign this form. * Today's Date * MM DD YYYY Thank you for completing this form. Prior to beginning your volunteer service a copy of your government issued ID must be made to complete the identification verification and background check process. A copy may be scanned and emailed to info@bymczeeland.org or you may stop by at any time to allow us to make a copy of your ID. Background checks will be completed, and you will be notified if any possible conflicts or concerns arise. We look forward to having you volunteer with us here at The Bridge! Download Form Donor Forms For more information on volunteering at The Bridge Youth Center or to fill out an online form, click the link below. Volunteer
