Vacation Bible School Registration & Volunteer Sign-up Home / Vacation Bible School Registration & Volunteer Sign-up Step 1 of 7 0% Who would you like to register today?(Required) Student Participant Volunteer Child InformationName(Required) First Last Grade in the Fall(Required)PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeGender(Required)MaleFemaleChild's Date of Birth(Required) Month Day Year List allergies, medication, or pertinent medical information the coordinator should knowAdd Another Child? Yes No Child 2 InformationName(Required) First Last Grade in the Fall(Required)PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeGender(Required)MaleFemaleChild's Date of Birth(Required) Month Day Year List allergies, medication, or pertinent medical information the coordinator should knowAdd Another Child? Yes No Child 3 InformationName(Required) First Last Grade in the Fall(Required)PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeGender(Required)MaleFemaleChild's Date of Birth(Required) Month Day Year List allergies, medication, or pertinent medical information the coordinator should knowAdd Another Child? Yes No Child 4 InformationName(Required) First Last Grade in the Fall(Required)PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeGender(Required)MaleFemaleChild's Date of Birth(Required) Month Day Year List allergies, medication, or pertinent medical information the coordinator should know Parent/Family InformationName(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Address(Required) Street Address Address Line 2 City State 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 ZIP Code Home Church AffiliationMusic FormatAudio CDStreaming Music VideoComments Volunteer InformationName(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Secondary PhoneAddress(Required) Street Address Address Line 2 City State 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 ZIP Code Grade in the Fall (if still in school)Gender(Required)AvailabilityAre there any times you are unavailable or schedule conflicts?AllergiesParish Affiliation(Required)Areas of InterestPlease note that the position(s) for which you indicate an interest are only a guideline for the VBS coordinators. Because we need WAY more crew leaders than any other role, that is PROBABLY where you will be assigned! Crew leader Bible leader assistant Games leader assistant Imagination station leader assistant Preschool assistant Snacks assistant Sticky scripture leader assistant Emergency Contact InformationEmergency Contact Name(Required) First Last Phone(Required)Email(Required) Relationship(Required)Medical Insurance Carrier(Required)Policy/Contract Number(Required)Family Physician(Required)Physician Phone(Required)Alternate Pickup Person(s)Alternate Pickup Name First Last RelationshipPhoneAlternate Pickup #2 Name First Last RelationshipPhoneMedical ReleaseIn case medical treatment is necessary and the emergency person cannot be located, the following authorization is needed: Consent(Required)I (We) authorize the adult advisor in charge to consent to any necessary examination, anesthetic, medical diagnosis, surgery or treatment, and/or hospital care to be rendered to the above-named adult/minor under the general or special supervision and on the advice of any physician or surgeon licensed to practice medicine in the state of Michigan. Medicines that need to be dispensed during this activity must be given to the designated supervisor in its original container with directions and dosage. I agree to the medical release policy. Media ReleaseI hereby give Blessed Sacrament Catholic Church, Assumption Catholic Church, and St. Brigid of Kildare Catholic Church the right and permission to publish, use photographs or video, and/or audio recordings of my child, a student enrolled in Vacation Bible School. I understand that such reproductions could be used to publicize or promote the parish through its media productions (website, social media, printed and/or online brochures, reports, promotional videos, etc.) or through the commercial media (television, radio, Internet or print). I waive any right to inspect and/or approve the finished product and do release Blessed Sacrament Catholic Church, Assumption Catholic Church, and St. Brigid of Kildare Catholic Church from any liability by virtue of distortion by processing. I further agree that these items may be used for publication, broadcast or reproduction without limitation or reservation or any fee.I consent.(Required)YesNoToday's Date MM slash DD slash YYYY Final QuestionHow did you hear about this event?Social MediaBulletinWord of MouthWebsitePast ParticipantOtherPhoneThis field is for validation purposes and should be left unchanged.
