2022 CATHLETICS VBS TEEN VOLUNTEER SIGN-UP FORM For those entering Grade 6-12 in the fall. Youth Name(Required) First Last Parent/Guardian Name(Required) First Last Parent Guardian Name First Last Are you a member of St. Sebastian Church?(Required) Yes No Adult Cell Phone Number(Required)Youth Cell PhoneBy entering this cell phone number parent gives permission for us to text or call their youth to give information about VBS, if needed.Parent Email(Required) Youth Email By entering this email parent gives permission for us to email their youth to send information about VBS.Where do you wish to help? You may check more than one.(Required) Games Helper June 19-21 Games Helper June 22-24 Snack Helper June 19-21 Snack Helper June 22-24 Faith Station Helper June 19-21 Faith Station Helper 22-24 Craft Station Helper June 19-21 Craft Station Helper 22-24 Personal Trainer (or Crew Leader) (Responsible for 3-5 children within a larger group of 15-20 children June 19-21 Personal Trainer( or Crew Leader) (Responsible for 3-5 children within a larger group of 15-20 children June 22-24 Substitute June 19-21 Substitute June 22-24 The only openings left are Personal Trainers for both sessions, Craft Helper for Session 2, and substitutes.Other opportunities to assist with preparation before VBS I can help with donations, call or email me. Scenery - help prepare props and items needed by painting backdrops, making signs, preparing crafts, etc. if I am avaiable on the dates you set up Prepare materials at home Setting up the hall June 16-17 Time TBD Clean up immediately following the event, Friday, June 24 Grade Entering in the Fall(Required)6th7th8th9th10th11th12thMedical Treatment Release(Required) SUBMIT Agreed and accepted As the parent or legal guardian, BY CLICKING “SUBMIT” BELOW I hereby authorize first aide/medical treatment for my youth(s) who is/are listed above 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 emergency contact person listed on this form as soon as reasonably possible. In the event that my youth(s) 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 my youth(s) as deemed necessary. Furthermore, BY CLICKING “SUBMIT” BELOW 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 to waive and release, and indemnify and hold harmless Saint Sebastian Church, any and all affiliated organizations, its/their employees, agents, representatives, volunteers and drivers, from any and all claims my child may have, excluding claims for intentional misconduct or gross negligence, arising from or relating to my child’s participation in this event.Allergies or other Medical Please list any allergies or other information we should know about.Emergency Contact Person's Name(Required) Emergency Contact Person'sPhone(Required)Relationship to Youth(Required) Physician's Name(Required) Physician's Address(Required) Physician's Phone Number(Required)Name of Health Insurance Company(Required) Insurance Policy/Group Number(Required) Insurance Contact Number(Required) Photo Permission(Required) I give permission to use photos/videos Second Choice Third Choice
