Vacation Bible School – Teen Volunteer Registration

Just as it takes hard work to train for the Olympics, it’s also important to get the right training to live out our faith. In the sports-themed VBS, kids will be inspired to set GOALS and AIM for excellence in their Catholic faith, with teachings on: The Greatest Commandments, 10 Commandments, Beatitudes, Fruits of the Spirit and Evangelization.

VBS LOCATION:
Blessed Sacrament Church
3020 Reeves Rd. NE, Warren, OH

VBS SETUP DATES (Teen volunteers attend)

• Wed June 3rd 6:30 pm -8:30 pm
• Thurs June 4th 9:30 am-12:30 pm
• Sat June 6th 1:30 pm-4pm

NEW VBS Volunteer Mass: All VBS Volunteers will go to the 4pm Sat. Mass together on Saturday, June 6th at Blessed Sacrament to conclude the setup week & pray for the success of VBS.

Register Now

Step 1 of 4 – Registrant/Family Details

25%

Name

This field is for validation purposes and should be left unchanged.

Important: TEENS ARRIVE EVERY DAY of VBS WEEK AT 9:00 AM and are picked up at 12:30, except Friday pickup is when VBS cleanup is completed (around 2:30 or 3pm)

Registrant Details

Teen(s) Being Registered(Required)

First

Middle

Last

Birthdate

Age*

Last Completed Grade*

 

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*6th-12th graders may volunteer for Vacation Bible School as “teen volunteers.”

Push the plus (+) button to add another teen.

Areas of Interest(Required)

Check all that apply

Assistant Group Leader

Crafts

Games

Snacks

Skits

Family Details

Parent/Guardian Name(Required)

First Last

Address(Required)

Street City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP

Parent/Guardian Email(Required)

Home Phone(Required)

Cell Phone(Required)

Work Phone

Parish(Required)

Please select your parishSaint Pope John XXIII ParishSt. Teresa of Calcutta ParishTrumbull NorthNoneOther

Other Parish(Required)

If not listed above.

Person(s) who may pick up teen(s) from VBS.(Required)

First Name

Last Name

Relationship

 

Add Remove

If this teen drives, do you give consent for this teen to drive to and from Vacation Bible School?(Required)

Yes

No

Emergency Information

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Emergency Contact 2(Required)

First Last

Emergency Contact 2 Phone(Required)

Special Needs/Allergies/Medical Information/Other

Grant or Refusal to Consent

Medical Consent(Required)

I hereby give consent for the following medical care providers and local hospital to be called.

I do NOT give my consent for the emergency medical treatment of my teen.

Refusal Instructions(Required)

In the event of illness or injury requiring emergency treatment, I wish the Church authorities to take the following action:

Physician(Required)

Physician Phone(Required)

Dentist(Required)

Dentist Phone(Required)

Preferred Hospital(Required)

Select OneAkron Children’s Urgent Care: 330 856-9699St. Joseph: 330-841-4000Trumbull: 330-841-9011

In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by above-named doctors, or, in the event the designated practitioner is not available, by another licensed physician or dentist; and (2) the transfer of the teen to any reasonably accessible hospital.

Insurance (if applicable)

ALLERGIES / MEDICAL CONDITIONS/ EDUCATIONAL SITUATIONS

Facts concerning the teen’s medical history, including allergies, medications being taken, and any physical impairments to which a doctor should be alerted:

My teen has an aide at school(Required)

Yes

No

Please Explain if your teen(s) use an aide.(Required)

Photo/Social Media Release

Photo Consent(Required)

The Parish Visitors of Mary Immaculate, the Catholic Community of Trumbull North, St. Teresa of Calcutta Parish, and Saint Pope John XXIII Parish, have my permission to use my teen’s photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

I agree to the photo policy.

Permission to Communicate

I give my consent to VBS adult leaders, Ana Prince and/or Sister Alina Marie to communicate with my teen via cell phone, text message and/or email.

I give permission to communicate

Teen's Cell Phone

Teen's Email

Signature of Parent/Guardian(Required)

By signing, you affirm you are the parent or legal guardian with the authority to make critical decisions and that all information submitted in this form is accurate You are formally accepting the terms and making a legally binding representation that the information you submitted is true, complete, and correct.