2026 Hope Prom Volunteer Registration

Name

Age

Address

This address will receive a confirmation email

*** Email will be our primary method of communcation during the planning process.

Phone

T-Shirt Size (Unisex)

Parent Name (If Under 18)

Parent Phone (If Under 18)

Are you a high school student?

YES NO

Emergency Contact During Event

Emergency Contact Phone

Backround Checks Are REQUIRED For ALL Volunteers Over The Age Of 18. If you select 'No' or 'Unsure' on the next question, please fill out and turn in the background check form that you will receive with your confirmation email.

Have you had a background check at Hope Church since October 2024?

Yes No Unsure

*** If you have completed a background check through your employer since October 2024, please have your Human Resources Personnel fax it to Hope Church re: Ginger Southard at (434) 836-5092.

Former/Current Experience Or Training With People With Disabilities (Check All That Apply) *** Please note that experience is not necessary to be a volunteer.

Healthcare Professional (i.e. speech-language pathologist, occupational therapist, behavior technician, creative arts therapist, etc.) Special Education Teacher Fluent In American Sign Language (ASL) Other Direct Service Provider No Experience Other

If Other, please explain:

Please Select Your 1st Choice For The Team You Wish To Participate In

Please Select Your 2nd Choice For The Team You Wish To Participate In

If you selected 'Setup' in the previous question, are you interested in serving the night of prom also?

Yes No

*** The Hope Prom Planning Team will make every effort to place you in your desired team, but it cannot be guaranteed. Individuals who have completed their background checks will be placed in teams first.

Are You Willing To Be An Alternate Buddy, Should The Need Arise During The Event?

Yes No

Will you be volunteering with a friend or family member?

Yes No

If so, list their name and relationship to you.

If you are a volunteer between the age of 14-17, please have your parent or legal guardian complete the following:

I give permission for my child to participate as a volunteer at the 2025 Hope Prom at Hope Church in Danville, VA on October 4th, 2025. Yes No

2026 Hope Prom Volunteer Registration

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