Become a Volunteer

Registration is open to all children entering Kindergarten in the fall of 2005-6th grade. Nursery is only available for adult volunteers children. All children must be potty trained.

We found some errors when you submitted your information. Please see below and fill in the information needed.

Volunteer First Name:

Volunteer Last Name:

Nick Name:

Gender:

Address1:

Address2:

City:

Country:

State:

Zip:

Email:

Re-Enter Your Email:

Home Phone Number: (xxx-xxx-xxxx)

Cell Phone Number: (xxx-xxx-xxxx)

Other Phone Number: (xxx-xxx-xxxx)

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Phone1: (xxx-xxx-xxxx)

Emergency Phone2: (xxx-xxx-xxxx)

T Shirt Size (Adult):

Home Church (if applicable):

Allergies:

Medical Issues or Special Needs:

Medical Release: I give my permission for the VBS staff to administer basic first aid to me in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.

Photo Release: I hereby grant the above named church my permission to copyright and use photographs/videos taken at VBS of me in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied.

Age:

General Information:

Ages Preferred:

Nursery	3rd-4th
Preschool-Kindergarten	5th-8th
1st-2nd

Days Available:

Sunday	Wednesday
Monday	Thursday
Tuesday	Friday

Please list ONE phone number to receive text messages. :

Will you be bringing your small children that will need nursery? :