2019 VBS Volunteer Registration

Volunteer Information
Volunteer Last Name
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Parent/Guardian Name (For Teens)
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Address
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Daytime Phone --
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E-mail
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(for updates)
EMERGENCY CONTACT
Contact person if parent cannot be reached
Name
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Relationship
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(Grandparent, Neighbor, Friend, etc.)
Phone --
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(Daytime)
Physician's Name
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Physician's Phone --
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Medical Information
Allergies, Notes, Etc.
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Please note below any Allergies, Pertinent medical information or notes you wish to include regarding your child(ren).
Volunteer Clearances (Over age 18)
Criminal Background Check
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Child Abuse Clearance
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Fingerprint Affidavit
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Proof of Fingerprinting
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VIRTUS training certificate
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Code of Conduct
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Student Volunteer Entering 6th Grade and Up
What grade will you be entering Fall 2019
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Youth Code of Conduct
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Information regarding clearances
Message Information regarding necessary clearances and Background Check Application can be found at: http://www.dioceseofscranton.org/about/compliance-office
VOLUNTEER FORMS DUE BY JUNE 1st - NO EXCEPTIONS !!
Childcare Needed?
Adult Volunteer Childcare needed?
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How many children under the age of 3?
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I would like to help before VBS Week
I would like to help by
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I would like to help in the following areas
I would like to help in these areas - Please make no more than three (3) choices
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VBS T-shirt
If working the VBS week ...
I have my VBS t-shirt from last year:
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If no, what size t-shirt do you need?
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Spam Capture
Spam Capture
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