St George Catholic Church - VBS Registration - Teen Volunteer

Teen Name REQUIRED Please fill out this field. Please enter valid data.

Teen Birthday REQUIRED Please fill out this field. Please enter valid data.

Teen Phone Number - Please put N/A if they don't have one REQUIRED Please fill out this field. Please enter valid data.

Teen T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.

Teen REQUIRED Male Female Please fill out this field.

Please select the areas of VBS you are interested in helping in, you can pick more than one! REQUIRED Music Games Crafts Faith Teaching Skits Snacks Group Leader/Helper Decorating Photo/Video Please fill out this field.

Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian Email REQUIRED Please fill out this field. Please enter valid data.

Parent/Guardian Phone REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Emergency Contact - Not a Parent - Name, Phone Number, and Relationship to the teen REQUIRED Please fill out this field.

I, the Parent or Guardian of the teen, agree to the statement below: Please select this field.

I understand that reasonable precautions will be taken to safeguard the health and well being of the participants in this VBS and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the VBS Team, or other associated volunteers of the VBS program to obtain medical care from a licensed physician, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge this diocese, parish and Cat.Chat Productions Inc. from all manners of actions, claims which I or the child named above shall or may have for any reason, arising during my child’s attendance of the VBS.

Unless other written instruction is submitted, I also consent to allowing my child’s image to be recorded, either by photograph or video, and used during the VBS week or for future advertisement of VBS programs. Any other use will require your further consent.