VBS ADULT VOLUNTEER APPLICATION Form

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email: This will be the MAIN form of communication used. REQUIRED Please fill out this field. Please enter an email address.

Primary Phone Number/Cell REQUIRED Please fill out this field. Please enter a phone number.

Secondary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Date of Birth: MM/DD/YYYY REQUIRED Please fill out this field. Please enter valid data.

Age REQUIRED Please fill out this field. Please enter an integer (number).

Name of Emergency Contact: REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Relationship: REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number/Cell REQUIRED Please fill out this field. Please enter a phone number.

Emergency Contact Phone Number/Secondary: Please enter a phone number.

Please select your preferred position: REQUIRED Please fill out this field.

Where and when have you volunteered at SMA? Please list:

Adult T-shirt size: REQUIRED Please fill out this field.

Has/Have your child(ren) ever attended VBS? REQUIRED Yes No Some of my children have Please fill out this field.

Is St. Michael's your home parish? REQUIRED Yes No Please fill out this field.

If St. Michael's is your home parish, what Mass do you attend? REQUIRED 5:00pm Vigil - Saturday 7:30am - Sunday 9:00am - Sunday 11:00am - Sunday 12:45pm - Saturday 2:30pm - Spanish - Sunday 5:30pm Life Teen - Sunday Please fill out this field.

Do you need the Nursery/child care (1-3 years old)? REQUIRED Please fill out this field.

If you need child care (1-3 years old) please type in the full name and age of each child needing the nursery.

MEDICAL RELEASE: I do hereby give consent to emergency medical treatment or procedures and hospital care which is deemed advisable by and is suggested, recommended, prescribed, or directed by any physician or surgeon duly licensed to practice in the Sate of Georgia.

If applicable: Medical Release for children in Nursery:
I am the parent or legal guardian of the child/ren I have listed for the Nursery. I do hereby give consent to emergency medical treatment or procedures and hospital care which is deemed advisable by and is suggested, recommended, prescribed, or directed by any physician or surgeon duly licensed to practice in the Sate of Georgia. It is understood that every effort shall be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatments will not be withheld if the undersigned cannot be reached.

Adult Volunteer: I Agree Please select this field.

MEDIA RELEASE: I hereby grant permission for in-house publication of group (two or more persons) photos taken during VBS.

Adult Volunteer: I Agree Please select this field.

Note: each family that registers their children to attend VBS receives one VBS music CD.

Music CD REQUIRED

: If you would like additional CD's for your family it will be an additional $10 per CD. Click on the number of extra CD's you'd like to purchase:

0 – No additional VBS CD's 10 – 1 Additional VBS CD 20 – 2 Additional VBS CD's Please fill out this field.

VBS Donation

If you would like to make a donation to help with VBS costs please type in the amount.

$ Please enter a positive decimal.

Please click on the "PROCEED TO PAYMENT" button to submit this application.
If you ordered a CD a payment form will be displayed for you to submit payment.
If you did not order a CD a screen confirming application submission will display.

VBS ADULT VOLUNTEER APPLICATION Form

PLEASE DO NOT USE THIS PAGE UNTIL AFTER MARCH 15!!!

REGISTRATION IS NOW OPEN! We are still in need of Adult volunteers!

ADULT VOLUNTEER APPLICATION

COMMITMENTS:

APRIL 29- Volunteer Notification Date

Volunteers please note:

VBS Information:

Participant Fees -- when parent is a VBS volunteer

Adult Volunteer Application: