Volunteer Camp Counselor St.Timothy's VBS - July 16-18th, 2019 10 am - 12:30pm
VOLUNTEERS SHOULD PLAN TO ARRIVE AT 9:15 AM. Counselor positions will be limited based on the number of students that sign up for VBS. Positions are on a first come-first serve basis. NOTE: This year's camp is only three days.
Volunteer First Name *
Your answer
Volunteer Last Name *
Your answer
Volunteer Email Address *
Your answer
Parent Email Address *
Your answer
Gender *
Age 17 or older? *
Grade entering in Fall 2018? *
Street Address *
Your answer
City, State, Zip *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Special Concerns: Please indicate if any special accommodations need to be made for your child, i.e. food allergies; medications; developmental delays; physical or mental health issues, etc. *Strict confidentiality is observed.
Your answer
Family Health Insurance Company *
Your answer
Policy Number *
Your answer
Child's Physician *
Your answer
Physician's Phone Number *
Your answer
Parental Release: I give my child permission to participate in St. Timothy's Parish Vacation Bible School (VBS) as a volunteer camp counselor. In case of medical emergency, every effort will be made to reach the parent, guardian or emergency contact. In the event that none can be reached, I give permission to a representative of St. Timothy's Parish to secure proper and necessary medical treatment for my child. *
Photo Release
Candid pictures without identifying names are sometimes used in parish publications and on our website. If you DO NOT grant such permission, please check the box below. By NOT selecting the box below, you ARE granting permission to use pictures.
Desired VBS Volunteer Job
Please rank your desired jobs. Place a "1" next to your 1st choice, a "2" next to your 2nd choices, etc.
Teacher (lead a class to each activity)
Arts & Crafts
Fun & Games (outdoors, weather permitting)
Are you a member of St. Timothy Parish? *
If you are not a member of St. Timothy Parish, please indicate the name of your parish and its location.
Your answer
If you are not a member of St. Timothy Parish, please indicate why you wish to volunteer in St. Timothy's VBS program.
Your answer
Did you participate as a volunteer last year, summer 2018? *
If so, what was your role last year?
Your answer
How many years have you participated as a VBS volunteer? *
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