VBS 2014 Registration Form

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Registering to be Volunteer or Participant?

Volunteer Roles (18yrs -older)

Volunteer Roles (16-17yrs old)

Volunteers: Days Available?

First Name

Last Name

Parent/Guardian's Name

Street Address

City, State, Zip

Best Contact Phone No.

Age Group

Participant's Birthdate

Home Church

Emergency Contact's Name (0ther than Parent/Guardian)

Emergency Contact's Phone No.

Allergies, Medication or Special Needs? Please describe

Medical release: I, the undersigned, hereby give my consent for emergency medical care to be provided for the above-names child while in the care of Vacation Bible School personnel at Seabrook SDA Church. Entering your initials in this field and submitting form gives formal consent for administering services