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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

Elementary
Small Group LeaderCraftsRecreationSnacksMissions

Additional Areas (18 and older only)
SecurityPlayground Supervisor

Additional information you would like us to know..

Childcare
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 stephanie@tupcsa.org.
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