Meal Packaging Activity Registration Form 2026

Participants

Please name any participants below.

(*Participants will be in contact with rice, soy, and dried vegetables; if you are allergic to any of these ingredients, we do not recommend participation. Participation in this event may require physical activity such as fast walking, heavy lifting, and the use of electric heat sealers.)

His Name (first and last)

Her Name (first and last)

This address will receive a confirmation email

Phone

Address

List minors participating below:

Child's Name and Age

Consent

This event is fast-paced and does require some physical labor depending on your station. Such as fast-paced walking and heavy lifting. Do you have any physical conditions we should be aware of? Or require any adjustments to participate? Such as to remain seated during the event, etc.

yes no

Please explain so that we can make necessary adjustments so that you may enjoy this event

In the event that above named participant(s) become ill or injured while under church authority, I give the members of Zoar Baptist Church permission to contact local authorities to provide emergency medical services for named participant(s) or transportation for named participant(s) to a reasonably accessible hospital.

Yes No

I give permission for named participant(s) to be photographed or recorded for future event advertising and for a record of church history.

yes no

By entering my name in the box below, I am providing my digital signature on this form. My digital signature affirms that all the above information is accurate. My digital signature also affirms that all named participants are aware that participation in this event is voluntary and that in the event of an accident or injury named participants will not hold Zoar Baptist Church, Augusta Volunteer Fire Department, or Rise Against Hunger liable.

Electronic Signature

Donation

If you would like to give financially to our goal of packaging 10,000 meals you may do so below. Monetary donations are not required for you to participate in this event. Donations are welcomed but optional.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.

Meal Packaging Activity Registration Form 2026

Description

Please Fix the Following