CPC VBS Registration (Youth Helpers)
This registration is only for youth (completed 6th -12th grade) who plan to volunteer and help during VBS. Please contact Naomi Martin at naomi@cpcpca.org or Rebecca Marchman at rebecca@cpcpca.org with any questions regarding youth helpers.
Youth's First Name *
Your answer
Youth's Last Name *
Your answer
Youth's Home Address (number, street, city, state, zip code) *
Your answer
Youth's Date of Birth *
MM
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DD
/
YYYY
Youth's School Grade Level Completed *
Youth's preference for age group to work with:
Youth's preference for area to serve (may check more than one)
The person completing this registration is the parent/guardian of the youth here registered. *
Required
Parent / Guardian Names *
Your answer
Parent / Guardian Email *
Your answer
Parent / Guardian Preferred Phone *
Your answer
Additional Emergency Contact Name *
Your answer
Additional Emergency Contact Phone *
Your answer
Please list any food or other allergies. (Please type "n/a" if there are none.) *
Your answer
Please list any medical conditions and/or medications currently being taken. (Please type "n/a" if there are none.) *
Your answer
I, the parent/guardian, give permission for Colleyville Presbyterian Church to seek emergency medical attention for the child here registered if needed until myself or other listed emergency contact can be reached. (If youth 18 years or older, please check this box for yourself) *
Required
I, the parent/guardian, give permission for photos of the child here registered to be used by Colleyville Presbyterian Church in social or other media for promotional purposes. (If youth 18 years or older, please check this box for yourself) *
Required
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