St. Jude Vacation Bible School 2016VOLUNTEERS (Grade 6 through Adult) REGISTRATION FORM
July 10th – 14th Mighty Fortress… 9:00 am ~ 12 Noon
…In Jesus, the Victory is Won!!
FAMILY LAST NAME FAMILY email
ADDRESS______CITY______STATE_____ ZIP______HOME Phone ( ______)______
PLEASE INDICATE THE AREA YOU WISH TO VOLUNTEER FOR AFTER SIGNING UP ONlLINE
GRADE AGE as of Signed Up
VOLUNTEER’S NAME (Sept 2016) 7/11/16 EMAIL (print clearly!) Online? Volunteer Area (be specific)
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Volunteers MUST sign up ONLINE!!!!
Sign ups available at
To be fair to everyone, volunteer positions are on a “first come, first served” ONLINEbasis.
____ Check here if you have CHILDREN and/or SIBLING(S) who are participating, and FILL OUT THE FORM on the reverse side→→→.
*CHILDCARE is provided for Children (Infants through age 3) of FULL TIME Volunteers ONLY!. If you need this service, please check here _____ AND fill in the registration form COMPLETELYon reverse side.→→→→→→→→→→→→→→→→→→→→→
If you are 18 OR OLDER(as of 7/11/17), you MUST be in compliance with the “Safe Environment” program. Have you completed the program? YES _____ NO _____ Signature Date
If you answered ‘NO’, please contact the Parish Office for more information on this BEFORE JUNE 1st !!!
If you are UNDER 18(as of 7/11/17), the following MUST be filled out or you will NOT be allowed in the program!!!!!!
Doctor’s Name _ Doctor’s Phone ( ____ )______-______
Mom’s Name Work Number ( ____ )_____-______OR Cell Phone Number ( ____ )______-______
Dad’s Name Work Number ( ____ )_____-______OR Cell Phone Number ( ____ )______-______
LOCAL EMERGENCY NameIn case the parent(s) cannot be reached and Phone Number ( ____ )______-______
I/we, the parent(s) or guardian(s) of the child(ren) listed on this form, do hereby release and save harmless St Jude Parish and any and all of its employees or volunteers from any and all liability for any and all harm arising to my/our son/daughter during the week of Vacation Bible School. I/we understand that the children will be supervised at all times. In case of accident or serious illness, I/we request that St Jude Parish contact me/us. If the parish is unable to reach me/us, I/we hereby authorize the parish to call the physician indicated above and to follow his/her instructions. If it is impossible to contact this physician, the parish may make whatever arrangements it deems necessary.
Parent/Guardian Signature Date
Please fill out this form (and the reverse, if applicable) IN ITS ENTIRETY and return to the book or mail to:St JudeVacationBibleSchool, 707 Monroe Turnpike, Monroe, CT06468
If you have any questions, please DO NOT call the Parish Office. All questions should be directed to
Donna @ 459-4852,Alicia @ 445-9194or email at