VBS 2017 Youth Volunteer Registration Form
First Name
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Last Name
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Address
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City
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Zip
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Parent Names
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Home Phone Number
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Youth Cell Number
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Parent Cell Number
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Parent Email Address
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Emergency Contact
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Emergency Contact Phone Number
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Youth Volunteer Birthday
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/
DD
/
YYYY
Grade Just Completed
Allergies
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Health Concerns
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Any Medications Taken During the VBS Day? If so, what
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T-Shirt Size
Anything Else We Need to Know?
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