PEACE LUTHERAN 2019 VBS VOLUNTEER REGISTRATION FORM
Please use this form is you'd like to volunteer to help at To Mars and Beyond. All volunteers must be from Peace Lutheran Church or asked by a member of Peace to help.
Email address *
Name *
Your answer
Address *
Your answer
City & ZIP *
Your answer
E-mail Address (We never share email addresses) *
Your answer
Non-members must serve with the member of Peace who asked them. If Peace is not your home church, who are you helping with?
Your answer
Home Church *
Your answer
Age *
Your answer
Grade Completed in June 2018 (If under 18)
Your answer
Allergies or Other Concerns *
Your answer
Emergency Contact *
Person must be available between 9:30 and Noon during VBS week.
Your answer
Contact Relationship *
Emergency Phone *
Your answer
Top Three Choices for Helping *
Required
For Guide, leading children station to station, please select one
Days Available *
Required
I Would Like to Help With
I Would Like to Work With:
Your answer
T-Shirt Size *
If you need childcare, list each child and his/her name
Your answer
ACKNOWLEDGEMENT: Print Name & Date Below *
In consideration for being accepted by Peace Lutheran Church for participation in VBS 2017, I/we or the parent(s) or legal guardian(s) of the person(s) named above, do agree that: (1) Peace Lutheran Church and its personnel will not be held responsible for accidents or personal injury arising there. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected the Pastors, or otherVBS volunteers to treat, hospitalize, secure proper anesthesia, order injection, or authorize other treatments for my child. (2) I/we have no objection to Peace Lutheran Church taking photographs at the VBS and understand that as a part of their outreach a picture of my child could be posted on the Church website without divulging names or other personal information. (3) I/we will not take my youth from the premises without first notifying the adult volunteer with whom they work.
Your answer
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