Accident & Injury Reporting *

I understand that I am to report as soon as possible any accidents or injuries to children, youth, or myself to the coordinator of my assigned ministry.

Mandatory Reporting Policy *

I understand that I am required by law to report known or suspected instances of child abuse, and that not doing so is considered a misdemeanor, and I am expected to follow the guidelines in this packet for Responding to Allegations of Child Abuse.

Hope's Child Protection Policy *

I acknowledge that I have received, read, and agree to abide by the Hope Presbyterian Church Child Protection Policy and Volunteer Information Packet, and submit to decisions made by Hope leadership as it regards a particular ministry activity I am serving.

Potential for Removal *

I understand that if I act in violation of any policy or procedure established by Hope Presbyterian Church for the protection of its children and youth, that I may be removed from my position of serving in that ministry.

Time Stamp in lieu of signature *

I hereby affirm that all information on this form is true and accurate to the best of my knowledge. By clicking the 'Submit' button below, I subscribe my electronic signature to this form by means of a timestamp.