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Registration Form for Serving at VBS

Join our 2017 VBS Team!

VBS is Monday, June 26 – Friday, June 30, 9:00am-12:15pm
This form is to apply to serve at VBS. This form is NOT to register your children for our VBS program. To register your children please visit our office.

I Am An AdultA Teen

First Name (required)

Last Name (required)

Phone #

Email (required)

If you are a Teen, Grade in Fall 2017 (must be in 7th - 12th grade)

I’m interested in serving in this area (teens in small groups will be serving as assistant leaders) :
4,5 & Kinder
Small Group LeaderSnacksMissions

Small Group LeaderCraftsRecreationSnacksMissions

Additional Areas (18 and older only)
SecurityPlayground Supervisor

Additional information you would like us to know..

Childcare is available for children age 3 and younger while a parent is serving in the VBS program. If you will need childcare, list each child individually below.

Child #1

Child #2

Child #3

If you have any questions please contact Stephanie Curry at 714.505.6254 EXT 110 or
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