If you are under the age 18, please list a parents cell phone number.
If you are 18 years and younger, please give your parents email.
If this is an email of someone in grade 6-12, by adding your child's email, you as their parent, authorize me to send information to them about our 2021 Vacation Bible School week. I will also send the same email to the adult email listed on this form.
If you can help us prepare for VBS, please check all that apply.
If you can volunteer during VBS, please select all that apply.
- Fill out this section ONLY if you are VOLUNTEERING DURING THE EVENT
If no you will need to go to virtus.org and sign-up for a class, sign required paperwork and have a background check completed before you are able to volunteer for this event.
This would be used during VBS week August 8-10 and/or August 11-13.
By checking the box below you give permission for your child to help at the 2021 VBS event from August 8-10 and/or August 11-13 in the evening from 5:45-about 8:30PM.
As the parent or legal guardian, of the youth listed on this form, I hereby authorize first aide/medical treatment in the event of an emergency, which may endanger her/his life, cause disfigurement, physical impairment, or undue discomfort if delayed. It is understood that efforts will be made to contact the person listed on this form as soon as reasonably possible. In the event that the aforementioned requires my authorization for treatment and I cannot be reached in an emergency, I hereby give my permission to the physician selected by the activity leader to hospitalize, secure medical treatment, and/or order an injection, anesthesia or surgery for the aforementioned as deemed necessary. I understand all reasonable safety precautions will be taken at all times by the parish and its agents during youth programing and events. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold St. Sebastian Church, its leaders, employees, drivers, volunteers, or the Roman Catholic Diocese of Grand Rapids liable for damages, losses, diseases, or injuries incurred by the aforementioned.
As legal guardian, I understand that photos and videos of participants may be taken during this week. I am the parent/legal guardian of those listed on this form and I hereby approve and consent to the use of his/her photo or video image and name to be used for promotional purposes (bulletin, church website, newspaper, etc.).
Please select your size. Guaranteed a shirt if you get form in by July 13
- Thank you so much for volunteering! We couldn't do this without you!
I you have any questions, please contact Debbie at 616-878-1619 or email@example.com .