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VBS- Student Volunteer Registration

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Student Volunteer Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Grade next fall (2026-2027 school year) REQUIRED Please fill out this field.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Emergency Contact Information
  Parents of student volunteers, please complete the following section.
  
  Name of Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Permissions/Authorizations
  
  Permission REQUIRED I/we, the parents or guardians of the above mentioned child, for myself/ourselves and for my/our child, give permission for my/our child to participate in the above mentioned event. Please fill out this field.
  
  Medical Authorization REQUIRED In the event of any injury or illness to my/our child during his/her participation in this event, I/we will apply my/our hospitalization and/or accident insurance toward the payment of the expenses incurred. Please fill out this field.
  
  Medical Matters REQUIRED I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. Please fill out this field.
  
  Photo Release
  
  Please check this box to let us know if we have your permission to use photos of your child taken during VBS. REQUIRED
  Permission is hereby granted to St. Catherine Labouré Parish of the Diocese of Pittsburgh to use voice recordings, photographs, and video of the above mentioned child to assist in its community awareness, and related public relations purposes.
  Yes No Please fill out this field.
  
  Allergies
  
  Any known allergies? (please include food and environmental) REQUIRED Please fill out this field. Please enter valid data.
  
  Additional Information
  
  Any other information that you think would be helpful for us to know about your child? Please enter valid data.
  
  Please check the boxes below regarding availability, phone/device usage, and code of conduct:
  
  Availability: REQUIRED I am available to volunteer Monday June 22-26 from 8:30am-12:15pm Please fill out this field.
  
  Code of Conduct: REQUIRED I will set a positive example for all VBS participants and adhere to a volunteer code of conduct (to be emailed). Please fill out this field.
  
  Phone/Device Requirement: REQUIRED I will leave my phone/devices at home or leave them in the designated secure classroom for the duration of VBS each day. Please fill out this field.
  
  Submit