Remember those in prison as if you were their fellow prisoners...Hebrews 13:3
HEARTBOUND MINISTRIES
Returning Hearts Celebration
RHC Volunteer
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2022 RHC Volunteer Registration Form
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Missions Fee for RHC Volunteers
2022 HeartBound RHC VOLUNTEER Registration Form
*
Indicates required field
Legal First Name
*
Middle Name
*
Last Name
*
Badge Name
*
name you would like to appear on badge
Email
*
Re-enter Email Address
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
*
Cell Phone Number
*
Date of Birth
*
Example: 01/01/2015
Gender
*
Male
Female
Maiden Name
*
Shirt Size (Unisex)
*
Small
Medium
Large
X-Large
XXL
XXXL
First Choice for Service
*
Family Assistant
Family Check-In
Volunteer Check-In
Volunteer Relief
Fun Fair
Crafts
Food
Face Painting
Photography
Second Choice for Service
*
Family Assistant
Family Check-In
Volunteer Check-In
Volunteer Relief
Fun Fair
Crafts
Food
Face Painting
Photography
please select a different option than the one chosen under "first choice for service"
Third Choice for Service
*
Family Assistant
Family Check-In
Volunteer Check-In
Volunteer Relief
Fun Fair
Crafts
Food
Face Painting
Photography
please select a different option than the one chosen under "first choice for service" or "second choice for service"
Are you on the visiting list of anyone within the Georgia Department of Corrections
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Yes
No
Name of Church You Attend
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Pastor's Name
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Church Street Address
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Line 1
Line 2
City
State
Zip Code
Country
I understand that my registration and GCIC form will be subject to a background check by the Georgia Department of Corrections.
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Yes
I have read and I agree to the Release of Liability, Consent to Background Screen, and Media Release as outlined on the Volunteer Information page.
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Yes
Have you sent the GCIC form to WALKER State Prison? (It can be downloaded from the RHC Information page)
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Yes
No
If not, what date can they count on receiving? If you are a certified volunteer with GDC, please indicate by typing YES.
*
In 01/01/2015 format please
Submit
After clicking SUBMIT, you will be redirected to a page where you can pay the missions fee/donation. *Donations are non-refundable under IRS laws. You must submit this form and pay in order to be registered.