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Webber Church Vacation Bible School Youth Worker Registration
Please complete and submit this form to register as a volunteer worker for Vacation Bible School at Webber Memorial Baptist Church. If under 18 years old, this form must be submitted by a parent or guardian on behalf of the youth volunteer.
Your Information
Please share with us information about yourself.
First Name *
Your answer
Last Name *
Your answer
Home address, including zip code: *
Your answer
Primary Phone Number *
Your answer
Age as of July 1 this year *
Your answer
Are you a member of Webber Memorial Baptist Church *
If not, do you attend church regularly?
Name of Church
Your answer
Have you completed "Reduce the Risk" training? *
This course is required for all volunteers who work with children and youth.
Have you volunteered at Webber Vacation Bible School before? *
Where would you like to serve in VBS? *
Required
What days are you available to serve in VBS? *
You can update this information as VBS week approaches by contacting Jan Fletcher. This is for general planning.
Required
Do you carry an emergency epinephrine injector? *
Do you carry a prescribed rescue metered dose inhaler? *
Please share any special physical issues or medical conditions of which we should be aware. *
If none, please type "none".
Your answer
Please list any known allergies. Be sure to include any related to food, insects, medications or environmental issues. *
If none, please type "none".
Your answer
Emergency Parent Contact Information
Please provide emergency contact information for the Parent or Legal Guardian of the Youth Volunteer.
Name of Parent *
Your answer
Relationship to You *
Emergency Contact Primary Phone Number *
XXX-XXX-XXXX
Your answer
Emergency Contact Secondary Phone Number
XXX-XXX-XXXX
Your answer
Permissions and Releases
Please review this section carefully. These items have changed.
Photography Release *
Webber Memorial Baptist Church regularly captures photos and/or videos of routine activities and those involved in them. I give permission for my child to be included in photographs and/or video footage to be taken during the week. Also, I give permission for my child’s image to appear on the church website, our VBS photo page, and/or in outreach documents. We do not identify children by name in photographs or videos.I give permission to be included in photographs and/or video footage to be taken during the week. Also, I give permission for my image to appear on the church website, our VBS photo page, and/or in outreach documents. We do not identify individuals by name in photographs or videos.
Required
Social Media Restrictions *
Webber Memorial Baptist Church desires to protect the images of adults, youth and children participating in VBS. I will refrain from posting unauthorized photos or videos on any social media sites and I agree to not identify (tag) any adult or any child not my own.
Required
Dress Code *
Webber Memorial Baptist Church has established a dress code for VBS workers in an effort to minimize confusion and establish basic standards for all. Please check each item to confirm you and your child understand the dress code and agree to abide by it.
Required
Cell Phones *
In order to be fully involved with our students, cell phones are to be used for true emergencies only while on duty. For non-emergencies, please wait until your break. Web surfing and gaming are prohibited.
Required
Training *
In order to best serve our VBS children, we offer training sessions in the weeks leading up to VBS. Please plan to attend at least one training session. Watch for training schedules in emails, bulletins, and on the website.
Required
Medical Emergencies *
I hereby give my permission for my child to be treated by a physician chosen by any adult leader in case of accident or serious illness. It is understood that every effort will be made to contact me prior to any serious treatment, but in order to protect life and health, I give my permission for indicated emergency medical care. I hereby voluntarily waive any claim against Webber Memorial Baptist Church and the owner and driver of the vehicle my child is to receive transportation to said VBS and to receive medical attention.
Required
Release of Liability *
I, for myself, my minor child and for the child’s other parent and/or guardian, hereby release, waive, discharge, and covenant not to sue Webber Memorial Baptist Church and its officers, directors, employees, agents, volunteers, heirs and assigns of and from all liability, loss, claims, demands, possible causes of action, court costs, attorneys' fees and other expenses arising from any lawsuit that may otherwise accrue from any loss, damage or injury to my child’s person or property in any way resulting from or connected with my child’s attendance at VBS, including, without limitation, the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons.
Required
Electronic Signature *
I represent that I am a parent or legal guardian of the child named above, I am at least 18 years old, and I have legal authorization to submit this form on behalf of the child listed above.
Required
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