Teen and Adult Volunteer Registration
Name on Drivers License
*
Gender
*
Please Select
Male
Female
Volunteer Status
*
Please Select
Adult
Teen
Program Preference
*
Please Select
Preschool: 4 ~ 5 Yr old
Elementary: Grades 1 ~ 5
Job Preference
*
Age
*
Date of Birth
*
Address
*
Home Phone
*
Cell Phone
*
Home Church
*
Allergies / Medical conditions
*
Parents' Name (teens)
Email Address
*
Emergency Contact & Phone
*
Do you have a green VBS T~shirt AT HOME from last year?
*
If not,what is your T~shirt size?
Would you be willing to pay for your T~shirt to help defray VBS costs?
Please Select
Yes
No
Do you need nursery care?
*
Please Select
Yes
No
If yes, names & ages
Comments
By submitting this form you are agreeing to a criminal background check in order to be a volunteer.
You should receive an email confirmation of this registration.
Submit
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