VBS Volunteer Registration Form
GRACE LUTHERAN CHURCH
1300 Kishwaukee Valley Road
Woodstock, IL 60098
815-338-0554
Fax: 338-0913

Please complete the following information and then click on the send button.
VBS Dates: July 17 - 21, 2017 9 a.m. - 12 noon

-Carrie Fiorina, Director of Education Ministries

All fields with an "*" must be filled out below before pressing the submit button.

*Contact/Volunteer First Name:

*Last Name:

 *e-mail address:

Would you like to be a VBS volunteer?

First Helper Choice:

Second Helper Choice:

*Street Address:

*City/State/Zip:

*Male/Female: *Telephone(Home):

Age if under 18: Grade entering in the fall if under 18:

*In case of emergency, contact name:

*Emergency Contact Phone:

Allergies or other medical conditions:
(Please use the enter key to create line breaks.)

Home Church:

I give Grace Lutheran Church permission to use photographs and/or video of myself for ministry promotional purposes. I understand that promotional photographs and names of those pictured may be submitted to local newspapers or used on Grace Lutheran Church's Web site for publicity purposes.
Waiver
By registering online, the undersigned here by agrees that they shall hold harmless Grace Lutheran Church, 1300 Kishwaukee Valley Road, Woodstock, Illinois and all its agents from any legal action or discourse that may arise from any and all accidents or injuries that may occur to the undersigned while engaging in athletic activities on the premises of Grace Lutheran Church for the period beginning at the time of this registration.
(I understand that by registering online I am giving my consent for Grace’s photograph/video/PR purposes and agree to the waiver information. If under 18 please have parent/guardian sign.)

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