PreElementary VBS Volunteer Registration

July 8 -11: 9:15-12:15 | Please fill out this form and click submit to register to Volunteer for VBS.

Participant's Info:

This sections is about you:

Name

Birthdate

Gender

Please select one option.

Male Female

Phone

This address will receive a confirmation email

Address

Tshirt Size

Please select one option.

Youth XS Youth S Youth M Youth L

DO you have a specific area you wish to help with?

Medical Info

Family Physician

Physician Phone

Family Insurance Company

Policy #

Allergies or Special Needs?

Please select all that apply.

Yes No

If yes, please explain:

Do you have any of these conditions?

Please select all that apply.

Asthma Kidney Trouble Heart Trouble Diabetes

Current medications you are taking. (Please ist)

Do you have any children participating in VBS?

Child 1

First Name

Last Name

Child 2:

First Name

Last Name

Permission to Treat

My permission is granted for the Montgomery United Methodist Church, Children’s Director, Church official or any other volunteer in charge to obtain necessary medical attention in case of sickness or injury to myself.

By typing my name, I grant permission to seek treatment.

Photo/Video Release

Also, I understand that as a participant, I may be photographed or videotaped during normal church activities and these photos/ videos may be used in promotional materials.

By typing my name in this box, I give permission to be photgraphed/videoed.

Description

July 8 -11: 9:15-12:15

Please fill out this form and click submit to register to Volunteer for VBS.

PreElementary VBS Volunteer Registration

Description

Please Fix the Following