St. Matthew's 2012 VBS -- Operation Overboard Volunteer Registration Form

St. Matthew's 2012 VBS -- Operation Overboard Volunteer Registration Form
June 25 - June 29, 2012 (9am-12pm)

Personal Information

Staff Last Name *

Staff First Name *

Grade entering Fall 2011 *

Street Address *

City *

State *

Zip code *

Home Phone *

Cell Phone *

Work Phone

E-mail Address *

Emergency Contact *

Emergency Phone *

T-shirt size *

Are you currently a member
of a church?

St. Matthew's

Not currently a member of a church

Member of another church

Would you like to receive
information about
St. Matthew's?

		Yes
		No

Insurance Information

Name of Insurance
Company *

Policy/Member
Number *

Group # *

Phone Number *

In the event of a medical or dental emergency where medical treatment is required,
I give my permission for the church staff or representative to obtain the services of a licensed physician.
In the event treatment is called for, which the medical provider refuses to administer without consent,
I hereby authorize an adult representative to give such consent for me if I cannot give consent myself.
I agree to hold such person free and blameless of any liability for damages
arising from giving such consent provided.
It is expected that in case of accident or emergency that the parent or legal guardian (of a minor)
will be notified as soon as possible.
I am indicating my permission by checking the box below: *

Opportunities to Serve at VBS 2010

Please let us know where you would like to serve.
We will consider each person's preferences and gifts
and will get back to you soon about your final assignment.
For more information about each area, put your cursor over the question mark.

Before and After VBS

I would like to help
with preparation for
VBS by doing the
following:

		Prep Projects
		Decorating
		Decorating Coordinator
		Supplies Coordinator

I can serve in a support role
at the beginning of VBS
on one or more days
during the week of VBS

		Registration
		Greeter
		Playground Supervision
		Preschool/Kinder Supervision

I can assist in a support role
toward the end of VBS
on one or more days
during the week of VBS

		Clean-Up
		Elementary Lunch Bunch
		Preschool Lunch Bunch
		Friday Clean-Up

VBS Volunteer Staff Roles
The following are roles to be carried out during the week of VBS.
Some involve planning ahead of time. All require attendance at training (TBA).
It is best for the children if you can commit to the entire week;
however if you can't, please let us know which days you will be able to join us.

I am able to help with VBS
on the following days:

Crew Leader
(choose age or leave blank
if not interested)

Crew Helper

Some parents prefer to be
grouped with their child,
other parents feel their child does
best when placed with another adult.
Please state your preference

Place my child in my crew

Place my child in my group (to travel together) but not in my crew

Place my child in a different group

It doesn't matter

Grade of child to which this refers

If you have more than one
child for which you have a
preference on whether they
are in your family or not,
state your preference for your
other child here

Place my child in my crew

Place my child in my group (to travel together) but not in my crew

Place my child in a different group

It doesn't matter

Grade of child to which this refers

Preschool Director/
Station Leader

Elementary Station Leader

Support Roles

If there is a role that we have missed
that you would like to fill,
state it here

Out of all the choices of roles
listed in the boxes above,
which is your TOP preference?
(We fill roles on a first come, first served
basis, but we try to give everyone their
top desire if they have one)

I have attended Safeguarding God's Children
Training

		Yes
		No

How many children under the age of 3
do you have that will need nursery care
during the week of VBS?

List names and ages of children
requiring nursery care

Thank you for volunteering to help with VBS! Click the SUBMIT button below to send us this form.
Note that you will get a pop-up screen once your form has been sent.
In order to register your child(ren) you will need to click on the NEXT button on that pop-up screen.
Then you will need to click on "enter a new form" and you will be able to register your child.
If you allow "cookies" you will not have to re-enter family information, insurance, etc.

* = Input is required