| *How would you like to serve at VBS?: |
__________________________________ |
| We are so excited you want to serve with us at VBS this year! We can't thank you enough for your willingness to serve in such a huge, impactful way! We need numerous volunteers to help us in a variety of ways. |
| As a reminder, in order to serve, adult and youth volunteers must be active Bay Leaf members or attendees who are actively engaged at Bay Leaf and have been for at least six months. All adult volunteers 18 years of age and older must have a current background check on file at Bay Leaf as well as a current certificate of completion for our MinistrySafe training and a signed Safe Child Commitment Form. Volunteers who are not yet active members will also be asked to provide two references. One of our amazing VBS staff members will contact all volunteers via email or phone to discuss serving role options as well as to send any additional forms/links needed to complete volunteer requirements. Thank you! |
| If you have any question, please feel free to reach out to the directors at vbs.bayleaf.org. |
| *First Name: |
__________________________________ |
| *Last Name: |
__________________________________ |
| Please include both a first and last name to be printed on your volunteer name tag. Thank you! |
| *Preferred Name for Name Tag: |
__________________________________ |
| Gender: |
Male Female (circle one) |
| Birthday: |
__________________________________ |
| *Grade or Age Range: |
__________________________________ |
| *Are you a youth volunteer?: |
Yes I am a youth volunteer.
No I am an adult volunteer. (18+ by June 20). (circle one) |
| Allergies, Medical, Special Needs: |
__________________________________ |
| Any Current Prescription Medications incl. EpiPin?: |
__________________________________ |
| Parent Name: |
__________________________________ |
| Parent Cell: |
(______)______-________ |
| Parent Email: |
__________________________________ |
| *Are you an active member of Bay Leaf?: |
Yes
No (circle one) |
| Name of Reference 1: |
__________________________________ |
| Reference 1 Cell: |
(______)______-________ |
| Name of Reference 2: |
__________________________________ |
| Reference 2 Cell: |
(______)______-________ |
| VOLUNTEER CONTACT INFORMATION |
| *Cell Number: |
(______)______-________ |
| *Email: |
__________________________________ |
| *Address: |
__________________________________ |
| *City: |
__________________________________ |
| *State: |
__________________________________ |
| *Zip: |
__________________________________ |
| Comments: |
|
| YOUTH MEDICAL RELEASE FORM |
| THIS PORTION OF REGISTRATION IS FOR YOUTH VOLUNTEERS ONLY. This entire form once submitted (personal information, contact information, medical release information) serves as each youth's registration form and signed medical release form. |
| I fully realize that any activity involves a risk of personal injury, property damage, or loss of my person or property. I herby for myself, my heirs, executors, and administrators, waive and release any claims or rights against Bay Leaf Baptist Church, all of its officers, directors, and coordinators, all owners of equipment which may be used and those who volunteered their equipment, vehicles, and services for any church activity, for any and all injury, damage, or loss to my personal or property incurred during a church sponsored activity. |
| It is my understanding that Bay Leaf Baptist Church will attempt to notify me in case of a medical emergency involving my child. If Bay Leaf Baptist Church staff members, chaperones, or any other Bay Leaf leader cannot reach me, then I authorize Bay Leaf Baptist Church to secure any medical treatment necessary for my child by any licensed physician or dentist, including the admission for such emergency care to any hospital reasonably accessible. The authorization does not include major surgery unless two licensed physicians or dentists concur that immediate surgery is necessary. I give my permission to the doctor or other health-care professional to provide the medical services he or she may deem necessary. I will accept responsibility for medical expenses so incurred. |
| Insurance Number: |
__________________________________ |
| Member Number: |
__________________________________ |
| Group Number: |
__________________________________ |
