2024 Special Needs VBS
Volunteer Registration
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Allergies
Medical Concerns
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Are you a Thrivent Member who would like to support SCUBA VBS with your Action Team Dollars? If yes, we will contact you with details on how to apply.
*
Yes
No
Please list the name(s) of participants you are related to or may have prior experience supporting:
Do you need nursery care for a child walking to age 3 who cannot participate in VBS?
*
Yes
No
If yes, list first name, last name, and age.
*
Ex. Sarah Smith, 2 years old
Availability - Choose from:
*
Available All Days (June 17-21 from 9:10am-11:45am)
Unavailable Monday, June 17
Unavailable Tuesday, June 18
Unavailable Wednesday, June 19
Unavailable Thursday, June 20
Unavailable Friday, June 21
If under 18, select grade level completed (2023-24 School Year):
Please Select
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
What position are you interested in? Please choose one.
*
Submit
Should be Empty: