Student Volunteer Form
Vacation Bible School Registration
St. Elizabeth Ann Seton Catholic Church
June 17- 21, 2019
9:00am-12pm

(Students in Grades 6-12 For the 2019-2020 School Year)

Please contact Connie Feit by calling/texting 260-241-7841 or by email cfeit@seasfw.org with questions.

First Name *
Your answer
Last Name
Your answer
What name do you go by for Name Tag
Your answer
Grade in Fall 2019 *
T-shirt (Included Free) *
Allergies/Special Needs/Other Medical Info/Anything Else we Should Know:
Your answer
Mother/Guardian Name
Your answer
Phone
Your answer
Father/ Guardian Name
Your answer
Phone
Your answer
Family Email Address *
Your answer
Street Address *
Your answer
Safe Environment Training
The Diocese of Fort Wayne-South Bend requires that all volunteers working with children or teenagers go through a screening process to ensure the safety of the children and teenagers at our parish. New volunteers, please follow the link at the conclusion of this form, to complete the Safe Environment Training and Application.
Have you already completed the Safe Environment Training and Application for a previous VBS or other St. Elizabeth activity?
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