REACH Buddy Social Peer Registration Form

Please complete the following form to sign up as a peer volunteer for The Buddy Social.

REACH The Buddy Social 2026 Summer – Peer Volunteer Form

Our Lady of Mercy Parish ~ Peer Volunteer Form

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Adult Volunteer Information

Our Lady of Mercy Parish ~ Adult Volunteer Form (All volunteers of age 18 years and up)

Volunteer Name*

First Middle Last

Volunteer Informal Name

First Last

This is the name that will appear on your name tag.

Cell Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

My Home Parish is:*

OLM Parishioner?*

Family is a registered parishioner at Our Lady of Mercy

Family attends Our Lady of Mercy regularly, but is not registered parishioner at Our Lady of Mercy

Family attends a different parish, but participates in formation, events, etc at Our Lady of Mercy

Family is new to area, and has not selected a church yet

Other

Peer volunteers, please describe your experience with students/individuals with special needs and disABILITIES below (no experience is required!):

Please describe any skills you have that may be useful for participating in The Buddy Program (ASL, Special Education, etc.):

Adult Liability Waiver & Medical Form

This form must be filled out and turned in by every adult volunteer.

Please download and complete this document, and return it. You have three options for returning it: (1) Print it and return it to the Faith Formation Office, (2) Scan it and attach it to an email sent to karens@olmercy.com or lydias@olmercy.com, or (3) Attach the fillable PDF to an email and send it as an attachment to karens@olmercy.com

Download – Adult Liability Waiver & Medical Form

Adult Volunteer Application

If you have never completed a Volunteer Application Form for The Buddy Social, then please download and complete the PDF fillable form and return it to us.

Please download and complete this document. Kindly return it to the Family Faith Formation office or send as an attachment to karens@olmercy.com or lydias@olmercy.com

Download – Adult Volunteer Application Form

Adult Safe Environment

The Diocese of Joliet requires a VIRTUS account for tracking all Safe Environment requirements. If you do not already have an active and compliant VIRTUS account, then you will be required to open an account, do the training and submit a name-based background check.

Please check the box for "The Buddy Social" gatherings you commit to volunteering for:

July 10, 6-8pm – Outdoor Picnic

August 7, 6-8pm – Flower Pots & Planting

September 11, 6-8pm – A Fall Experience

Signature*