Youth & GL Registration 2021
ASP volunteers (both youth and adult) need to fill out this form entirely.
To complete registration, you will need these things:
Volunteer's social security number (for CORI background check)
Image (photo or scan) of signed
Volunteer Covenant & Release
form. Must be signed by volunteer and parent if under 18.
Single image (photo or scan) of the volunteer's health insurance card, front and back (in case of emergency).
** Do not upload two images since only second one will be saved. **
Profile picture, preferrably a square cropped view of volunteer's face.
For group leaders, a photo of driver's license (needed for ID and van rental).
All items are REQUIRED for registration and must be uploaded on next page. Incomplete registrations will be put on wait list. Volunteers (youth and adults) registering for the program will be opted in for text alerts (we use these sparingly). Parents may opt-in on this form or via the web site.
If you already have an account on the portal it would be faster to
login
to use details from your prior registration.
Volunteer first name *
Your full legal first name. We'll need this for your CORI check.
Volunteer last name *
Suffix *
Is there a Jr or Sr at the end of your name? Name, not grade. Example: John Smith, Jr. (Not Junior in High School.)
- Select -
None
Jr
Sr
II
III
Name tag
Enter the name we should use on your name tag,
first name only
. Will default to first name if left blank. (Example: Do you prefer to be called Michael or Mike?)
Rookie to ASP? *
Will this be your first trip with the Westborough ASP group?
- Select -
Yes
No
Select your grade, LIT or Group Leader *
LIT: Leader in Training, graduated but 21 or younger. GL: Adult Group Leader
- Select -
Freshman
Sophomore
Junior
Senior
LIT (18-21yr)
GL/Adult
Parent
Male / Female *
- Select -
Female
Male
Church affiliation *
- Select -
FUMC
St.Luke
None
Other
T-shirt size *
- Select -
XS
S
M
L
XL
2XL
3XL
Volunteer's email address *
Email is the main way we communicate with you. (There's a spot for parent's email address below.)
Volunteer's email address (re-enter to verify) *
As we said... email is the main way we communicate.
Volunteer's mobile phone *
We will call or text you with reminders.(There's a spot for parent contact info below.)
Home phone
Street address *
City *
State *
ZIP *
First aid training *
Have you ever received first aid training?
- Select -
Yes
No
Contact 1 full name
(first and last name)
Parent/Guardian for youth (required), emergency contact for adults
Contact 1 email address
Contact email required for Youth registrations.
Contact 1 phone number
Contact phone required for Youth registrations.
Contact 1 opt-in
(required if contact 1 entered)
- Select -
Both Email and Text
Email only
Text only
No Email or Text
Contact 2 full name
(first and last name)
Secondary contact if primary cannot be reached.
Contact 2 email address
Contact 2 phone number
Contact 2 opt-in
(required if contact 2 entered)
- Select -
Both Email and Text
Email only
Text only
No Email or Text
Alternate contact
(if first two contacts unavailable)
Birthday *
We need this to verify your age and run a CORI background check. Giving us this info gives us permission to do so.
Volunteer's last 6 of Social Security Number *
We need this to run a CORI background check. Giving us this info gives us permission to do so.
Volunteer's prior legal names
We need this to run a CORI background check. Giving us this info gives us permission to do so. Put space between first and last name. Separate multiple names with comma.
Medications *
Does this Volunteer require any regular medication? Be specific or enter No.
Medical needs *
Does this Volunteer have any other special medical needs or allergies? Be specific or enter No.
Food allergies *
Does this Volunteer have any dietary concerns or restrictions? Be specific or enter No.
Prep Retreat (May 7-9, 2021) *
The Prep Retreat is the single MOST important training event. It is YOUR responsibility to put this in your calendar, ask for the time off from work and to be there.
I understand the Prep Retreat is mandatory.
* Required fields
Send email to
support@westboroughasp.com
if you have issues with registration.
Confidential information in orange sections will only be used for CORI background check.
Confidential information in grey sections will be restricted to a secure group of adults.
Medical information and food allergies are required to support volunteers in emergency situations.