Youth Application-VBS 2017
Please fill out this form and click submit.
Youth Name
*
Email
*
Cell Phone
*
Home Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Date of Birth
*
Grade in Fall 2017
*
School Attending
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Allergies
*
Other Medical Conditions or Special Needs
*
Parent/Guardian Name(s)
*
Parent/Guardian email
*
Parent/Guardian Phone 1
*
Parent/Guardian Phone 2
Area of service you would like to serve. Mark all that apply.
*
Please select all that apply.
Set up and Decorations
Music and Dancing
Recreation and Games
Dinner and Snacks
Arts and Crafts
Bible Skits
Rotation Leader Assistant
Tearing Down after VBS
Photography/ Video/ Techinical Production
Stage and Prop Design
Assist with Mission Management
Shirt Size
*
Please select one option.
Small
Medium
Large
X-Large
Select Option
Small
Medium
Large
X-Large
New this Year: Youth Volunteers should plan to arrive at 5:45pm for a Youth Huddle for prayer and instruction about the evening. Dinner will be served at 5:45 for the youth. At 6pm youth will be ready to receive children and help them with dinner.
I will participate in the nightly dinner the during VBS at 5:45 PM
*
Please select one option.
Yes
No
Select Option
Yes
No
Thank you for your registration!
The Cost for Youth volunteers is $15, this includes a t-shirt and dinners. Please pay online using the church website, or return payment to the church office marked "VBS"
https://www.eservicepayments.com/cgi-bin/Vanco_ver3.vps?appver3=SsKSQ0-nPT_k4RByT8_3XaDPflwm8MJQtyozwoutI17BL2x7zZJOv13wqX7ISAFnPxRX1LohbYGkIN4xb5TBNVWxSrh-743yYGRWOGrxQ2FeuRHmNJ1rM-lJxTnZI8OMIyKjetTN85ByhFVIJRi0Uj9hqD4es_YZzMTHBMjk2YdWOq_6sXHGI9qXjgA4mPAwaiqdRmFXvgrtoYCd5GYQOw==&ver=3
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