Breakaway Feb. 15, 2025 Team Member Registration

Breakaway Team Member Registration

February 15, 2025 3pm - 7pm at Paulding Gymnastics
Location of Paulding Gymnastics - 106 Greystone Blvd. Dallas GA 30157

Our Breakaway event will be at Paulding Gymnastics on February 15th, 2025 from 3pm -7pm.

Team Members need to arrive by 2:15pm. The event starts at 3pm.

All Team Members must have a background check with West Ridge Church. Comply as quickly as possible when you receive the request from West Ridge Church.

Wear comfortable gym type attire, tennis shoes, socks, etc.

Read the Activity Description carefully to insure you are aware of all requirements for that position.

Note that miscellaneous tasks may be assigned, so ask that you can be "flexible" if necessary.

PARK IN FRONT OF THE DANCE STUDIO AND SAVE THE PARKING IN FRONT OF THE GYM FOR OUR SPECIAL NEEDS FAMILIES!

As always, help us in recruiting additional volunteers.

Dinner Will Be Provided.

If you have a form for community or school hours, bring the form with you and someone at the registration desk and we will be glad to sign it for you.

A BIG THANK YOU for serving at our Breakaway Event and being the hands and feet of Jesus to these kids!

We appreciate your willingness and your servant heart for wanting to minister to these families in such a wonderful way. We look forward to seeing all that God has in store for these families!

If you have any questions, please do not hesitate to contact me.

Thank you,

Anita Metcalf

West Ridge Church-Special Needs Ministry Events Team Lead

ajmetcalf@bellsouth.net

Team Member Name*

First NameLast Name
Email*
example@example.com
Primary Phone Number*
Address*

Street Address

Apt / Lot #

CityState / Province

Postal / Zip Code
Birthday*

MonthDayYear
Gender*

Emergency Contact During Event

(Parent info if you are under 18)
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Emergency Contact Relationship*
Ex: Spouse, Parent, Grandparent, etc.

Enter Code if you were given one for Leader Positions
Key Leaders - BA25*
Team Member Choice - Choose the area that you would like to serve in. *
prevnext( X )
Food Team (2pm - Cleanup)You will give out food, dessert and drinks. You will also clean up the food distribution site. Take garbage to the dumpster, clean kitchen area and tables, sweep and leave the facility as found.
$ Free



One -on-One Support Communicate with one-on-one leader throughout day. Support one child with another volunteer throughout the day. Assist with bathroom breaks, keep child safe within eyesight. Assist child with assigned activities or "go with the flow" as the child chooses.
$ Free



Parking Team Directs volunteers to Dance Company parking lot and families to Paulding Gymnastics Parking Lot. Assists those who need help with wheelchairs, holding doors, carrying diaper bags, etc.
$ Free



Preschool Support Must have a love for children, want to hold and comfort them, play games with them, clean up after them, perform diaper changes and potty trips. This person needs to be someone who is focused 100% of time on the children. Must follow Leader's directions and perform all required tasks. Throughout the day, miscellaneous tasks may be assigned.
$ Free



Registration Team (2pm - 4pm)Check in Team Members and Participants. You may wish to sign up for an additional position if you would like to stay for the entire event.
$ Free



Security Insures no child leaves the building (stands by doors). Check to make sure that the parents and children have matching tags before they leave.
$ Free



Small Group GuideThis is a great position for those who already serve in the Special Needs or Kids Ministry, as well as high school and college students. These awesome volunteers will be paired up with another guide and the two of you will be responsible for 5-7 children. You will be provided with a schedule for the day and you will guide the children through the events of the day (different stations). You will also assist the children with their snack and bathroom breaks. You will be responsible for insuring your group stays together and adhere to the schedule. There will be NO curriculum to teach.
$ Free
Will you be One-on-One Support for a specific guest that is already pre-registered to attend?*
What is the name of the Guest that you will be One-on-One Support for?*

Waiver of Liability

I agree and understand that use of any facilities, services, equipment or premises of this Church (collectively, “Facilities”), and the participation in ministry events (“Ministry Events”), including but not limited to student camps, small groups in homes, group outings, and dances involve risks of injury to my person and property and to the person or property of any minor for whom I have guardianship and have requested or allowed entry to or use of the Facilities or participation in the Ministry Events. By engaging in such use or participation, or permitting such use or participation, I voluntarily accept and assume full responsibility for such risks. Therefore, in consideration of such use or such participation, I agree that West Ridge Church, its successors, affiliates, and related entities, and their respective directors, officers, members, managers, employees, volunteers, independent contractors, agents, and insurers (collectively, "West Ridge Church") will not be liable for any injury to my person or property.

Further, on behalf of myself, my heirs (including any Minors), personal representatives and assigns, for the ability to use the Facilities or participate in the Ministry Events, I, if applicable, do hereby release, discharge and hold harmless West Ridge Church from any and all liability and claims arising from my use of the Facilities or participation in the Ministry Events. I further covenant not to sue West Ridge Church with respect to, and I waive any all claims that I may have now or in the future against West Ridge Church for any liability arising from my use of the Facilities or Participation in the Ministry Events.

Medical Authorization

In the event I cannot make the decision on my own, I hereby authorize WRC, its officers, directors, agents, employees, or designated medical professionals to make emergency medical decisions (I.E. doctors, hospitals, medical treatment, etc.) and/or to administer emergency medical assistance.

I accept responsibility for payment of expenses incurred as a result of any medical treatment.

I have read, agree to, and understand all the terms in this document, namely the West Ridge Church Medical Authorization and Waiver form. I do agree that all the terms in this document do apply to all activities sponsored by West Ridge Church for a period of 1 (one) year from the date of signature. It is my responsibility to notify West Ridge Church of any insurance changes that occur during the above time period.
Waiver Acceptance*

I have read and agree with the waiver

Permission to Participate at Paulding Gymnastics

This is a requirement of Paulding Gymnastics and will be given to them the day of the event.
Name*

First NameLast Name
Name of Parent if Team Member is Under 18 years old*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
PLEASE READ BEFORE SIGNING

We hereby understand and recognize that there is a substantial risk of injury arising from students' participation in the programs of Paulding Gymnastics. We, the parents or legal guardians of the above listed student, do hereby agree to indemnify and hold harmless the said Paulding Gymnastics, its officers, instructors, employees, and representatives from any and all liability, loss or damage, including resaonable attorney's fees resulting from claims, causes of action, demands and costs of judgments against Paulding Gymnastics, without limitation, any injury, illness, or accident to such student arising from the students participation in any way in any program or course of instruction. We further expressly give the staff of Paulding Gymnastics the power of consent to medical treatment during an emergency for the health and safety of our child if we cannot be contacted.
Signature *

Clear

Once you click Submit below, you will be able to review your selections and go back and change anything at that time.
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Breakaway Team Member Registration

Emergency Contact During Event

Permission to Participate at Paulding Gymnastics