| WORKER / VOLUNTEER REGISTRATION ONLY!!!!!!! All children are to be registered separately on the PARTICIPANT Registration Form located on the NMBC website. |
| *First Name: |
__________________________________ |
| *Last Name: |
__________________________________ |
| *Preferred Name for Name Tag: |
__________________________________ |
| *Address: |
__________________________________ |
| *City: |
__________________________________ |
| *State: |
__________________________________ |
| *Zip: |
__________________________________ |
| *Primary Phone: |
(______)______-________ |
| Alternate Phone: |
(______)______-________ |
| *Email: |
__________________________________ |
| Gender: |
Male Female (circle one) |
| Age Range: |
__________________________________ |
| *Youth or Adult VOLUNTEER: |
__________________________________ |
| VERY IMPORTANT: "VBS Nursery" (Babies to Three yrs) is available for VBS Workers ONLY.
Make sure to REGISTER all children separately on the PARTICIPANT REGISTRATION FORM for NMBC VBS because this registration form is only for workers. |
| *Background Check Completed: |
__________________________________ |
| VBS Office Use ONLY: |
|
| *Recruited by: |
__________________________________ |
| *Junior High Notice: |
I understand that JUNIOR HIGH helpers work with YOUNGER AREAS of VBS (2nd grade and below only)
Not applicable fo me (circle one) |
| *Area of INTEREST or HELPING: |
|
| *Available from 8-12 daily?: |
|
| FYI:
VBS Shirts will be available for PURCHASE until they run out. Order form with a QR code coming, but orders will have a due date to ensure availability. Payment will be required at time of purchase. Watch for the QR code for more information. |
