Teen VBS Volunteer Form

This staff registration form is for those who are entering 7th grade through 17 years old.  If you are 18 or older, please go to our Adult VBS Volunteer Form.

First Name

Last Name

Gender

Date of Birth

mm/dd/yyyy

Grade Entering

Address

City

State

ZipCode

Home Phone Number

000-000-0000

Cell Phone Number

000-000-0000

Email Address

Mother's First and Last Name

Mother's Cell Phone

Mother's Email Address

Father's First and Last Name

Father's Cell Phone

Father's Email Address

Allergies

Please let us know of any allergies or other medical concerns

Is your tetanus shot up to date?

Medical Permission

I give permission for my child to receive emergency medical treatment while under the supervision of the VBS staff at Faith Lutheran Brethren Church

Benedryl

If your child is having an allergic reaction, can our adult staff give your child an age appropriate dose of Benedryl?

Emergency Contact Name

In the event of an emergency, we will contact parents first. In the event that we cannot reach either parent, please provide an additional contact

Emergency Contact Cell Phone Number

Emergency Contact Home Phone Number

Relation to emergency contact?

Staff Kick Off, August 4th

Our Staff Kick Off is mandatory for all to attend

First Choice to Help

Second Choice to Help

Third Choice to Help

Will you be attending the evening Teen Program

*Please note you do NOT need to register for the Teen Program if you are on staff!!!

Will you be able to attend our Closing Program, Friday night, to assist with the children?

Do you have your own Bible

Will you be using your time on staff for community service hours?

*We will sign off on 20 hours for VBS

Photo Permission

I give permission for photos containing my child to be used in the closing program slideshow and the Sunday morning recap video.

Prayer

Please be in prayer for VBS. Pray for your heart to be ready to serve these kids and serve each other. Pray that the love that Christ gives to us will show through your words and actions the week of VBS and beyond.

Commitment

I commit to put the children first the week of VBS. I will do my best to serve them and love them. I will be willing to help in any way needed to make VBS a fun, safe and memorable week for these children.

Comments or Questions