University Carillon Forms

VBS — Adult Leader Interest Form

June 5–9, 2023 • 9AM-12PM

Please use this form to let Kids Ministry know you are interested in serving with VBS.
You will be contacted regarding your interest to serve.

STEP 1: Please complete one interest form per adult.

PERSONAL INFO

student name

First Name *

Last Name *

adult info

Cell *

Home Phone

Email *

Confirm Email

ADDRESS

Address *

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City *

State *

Zip *

EMERGENCY CONTACT

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Name *

Cell *

Relationship *

AREAS TO SERVE

*Placement of serving positions are not guaranteed but will be considered.

Have you volunteered at UC VBS in prior years? *

Which age groups are you most comfortable working with? *

Wherever Needed
PreK-K
1st-2nd
3rd-5th

Areas of Interest. Check all that apply. *

Group Leader
Crafts
Games
Decorations
Kitchen
Bible
Mission
Music
Photographer
Tech Helper

If selected Group Leader, what grade do you prefer?

I would like to lead with (first and last name)

I am First Aid/CPR certified.

*PHOTO/VIDEO RELEASE

For privacy and safety, we will not publish names with photographs/videos.
I authorize the use/release of photographs and/or videos that include the INDIVIDUALS NAMED ABOVE for University Carillon use, in print and electronic materials (worship videos, e-mail blasts, church website, Facebook, etc.).

Photo/Video Release: *

Given
Denied

*RELEASE

Submitting this on-line form will be the equivalent of signing a paper registration form.

I have read and understand the above information. The information I have given University Carillon is accurate and true to the best of my knowledge.
My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper registration form.

Release *

Yes, I agree

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Adult Electronic Signature *

Date *

After submitting your form, WATCH FOR Confirmation Email.

One from our web specialist with the responses from your registration.

Save and Resume Later

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Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

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Email *