VBS Youth Volunteer Form - St Ferdinand Parish

ST FERDINAND VACATION BIBLE SCHOOL
YOUTH VOLUNTEER FORM
JOIN THE ROYAL KINGDOM!
A “KINGDOM ROCK” CREW NEEDS YOU!!
St. Ferdinand Religious Education
2535 Rochester Rd.
Cranberry Twp., PA 16066
724-776-9177
Vacation Bible School – Kingdom Rock!
June 17 – June 21, 2013
9:00 a.m. – 11:45 a.m.
St. Ferdinand Church Grounds
If you’re entering 6 th grade or higher next year you’re ready to help
lead young children on an exciting
Epic Adventure!
Let us know by June 7 if you would like to help. Please sign up below – circle the area(s)
you’d like to help with and the day(s) you can come. Also, note the times for training. You
must come for one training session only! Lastly, have your parent or guardian fill out and
sign the permission form. We’ll contact you soon. Questions? Call Sue Shaffer at 724-776-
9177 or Andrea Wheeler at 724-776-1920
Get ready for Kingdom Rock! -- Sign up below
ST. FERDINAND VACATION BIBLE SCHOOL YOUTH VOLUNTEER FORM
DUE DATE: JUNE 7, 2013
St. Ferdinand Religious Education Office
2535 Rochester Rd., Cranberry Twp., PA 16066
Phone: 724-776-9177
Name: _________________________________
Grade completed this year: _____
Address: ___________________________ Phone: ________________
I am available during VBS: (Circle all that apply)
Mon 17 Tues 18 Wed 19 Thurs 20 Fri 21
Please circle areas of interest: Set up Acting in skits building sets Pre- School aide games Bible Stories
Sing/teach songs Chadder the Movie Crew crew assistant snack helper crew leader craft helper clean-up
I would most like to help with: _______________________
I would like to work with my friend:____________________
I am available for training (circle all times available)
June 11(Tues): 3:30 or June 11(Tues) 7:00 p.m.
Parent/Guardians: Please fill out and sign the Permission/Medical Authorization Form on back
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ST FERDINAND VACATION BIBLE SCHOOL
YOUTH VOLUNTEER FORM
ST. FERDINAND PARISH
VACATION BIBLE SCHOOL – June 17 – 21, 2013
2535 Rochester Rd.
Cranberry Twp., PA 16066
724-776-9177
PERMISSION/MEDICAL AUTHORIZATION
Name of Activity: “Kingdom Rock”—Vacation Bible School held at St. Ferdinand
Parish
Date: June 17 – 21, 2013 Time: 9:00 a.m. – 11:45 a.m.
Child’s Name: ___________________________ Age: _______ Sex: ______
Address: ___________________________ City: __________ State:____ Zip:_____
Phone: _________________
School: ________________ Grade: ____
Birthdate: ________ Parish: ___________
PERMISSION
I/we, the parents or guardians of the above mentioned child, for myself/ourselves and for
my/our child, give permission for my/our child to participate in the above mentioned
activity day on the above written date.
I grant permission for my son/daughter to be photographed and/or videotaped during the
above mentioned activity day on the above written date.
MEDICAL AUTHORIZATION
In the event of any injury or illness to my/our child during his/her participation in this
activity day I/we hereby give my/our permission for the necessary medical treatment to be
given to my/our child.
I/we agree that in case of injury to my/our child, I/we will apply my/our hospitalization
and/or accident insurance toward payment of the expenses incurred and will not look to St.
Ferdinand Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any
medical costs or injury related costs.
Parent/Guardian Signature: _________________________________
Parent/Guardian Phone Number: _____________
Insurance Company: ____________________ Policy Number:___________________
Name and Phone Number of Person if parent/guardian is not available: ________________
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ST FERDINAND VACATION BIBLE SCHOOL
YOUTH VOLUNTEER FORM
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