Vacation Bible School Youth Volunteer Form (Rising 6th Graders-Rising 12th graders)
Please fill out this form and click submit.
Youth Volunteer's Name
*
Youth Volunteer's Age
*
Last Grade Completed in School
*
Please select all that apply.
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Parent/Guardian Email
*
This address will receive a confirmation email
Parent/Guardian Name
*
Parent/Guardian Phone
*
Mailing Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Area of Interest for Volunteering
*
Please select all that apply.
group leader
music
crafts
science
games
kitchen
actor for opening/closing assembly
Please list any special needs you have.
*
Please list any allergies. Please make sure to note the severity and the treatment.
*
Do you have any medical conditions that we should be made aware of?
*
Emergency Contact
*
Emergency Contact Phone Number
*
Names of people who are allowed to pick up the youth volunteer from VBS
*
Photo Release: I give my permission to let Highland's United Presbyterian Church use my child's photo in print publications, online publications and social media posts for Highlands United Presbyterian Church.
*
Please select one option.
Yes, I agree
No, I do not agree.
Submit
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